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SAN jOAQU7N COUNTY <br />PUBLIC REALTII S.RV'"S <br />ET4V11tONMBNTAL I1FAI.1I1 DrAS1ON <br />PUBLIC RECORW RXLFASE APPLICATION q,: Fq <br />APPLICANT <br />f C cll - AjJAE >°'� ONE No qb /oob <br />ADDRESS t' F SO 1 w!1`! PHONE NO S o 2v� p <br />AGE'SICY NAMESE STOc! 95 0 2 <br />D %p <br />ADDRESS 30q <br />LPN"ri—�-X <br />UALTH <br />IIIE <br />tS SUBJECT T <br />11115 N071CL' O THE RCQtJ[RENII rS IDENTIFIED IN SCA'I'E�WA"I'):R{ CODE, <br />SERVICES/FNVIRONMeNTAI-REAI:nI SERVICE (111113) CIIARGRIRESOLU'T70NS,DINANC6 CODE OF SAN <br />JOAQUIN COUN'T'Y. EIID FEES AND <br />GOVERNMENT CODE AND 1118 EVIDENCE CODS. <br />A MA%IhIL�M OP TEtI (10) PREMIS ADDRESSES PER REQUEST. <br />1. APPOINTMENTS ARE <br />,iv-ruFNT oLi <br />2. Pl1RU0 (ILL•S/RECORDS RFV[UW OFtF B IGUR OR Al y AU 1.00 <br />ARE SCIICOULL•D <br />ARRANGED BY CAL' (2')9) g;00 A,M.'I'O 12:00 NOON AND 1:00 P. M. CO.4a0 <br />MONDAY TNRU FRIDAY lXC>-DDINO FIOLIDAYS• <br />P.M. rif-KIINUAR(P DEPO$TCOF'j76.00 <br />A PU0L1C RECORDS RELEASG AP PIJCA'CION AND A h—�-�--- <br />IS REQUIRED. DEPOSITS W14L BE RETURNED TO 171E APPLICANT IF "I11E r1LGS/RL•COR+7.'-1 ARE <br />NOT AVAILABLE WMUN 11111 CUSTODY OF 114E SI{D. <br />S THE <br />OTAL FILE REVIEW FEE <br />4. CHARGE1411fLI BALI.NCHTOP`15 � CHARGES ARE OUE AND YADYAKIE'T„ RI -OK 10 KEVIBWIN THE <br />DOCUMENT(S).ILL BE <br />SAME CONDMON <br />CORRECTED EY THE END STAFF AT �ENED IN EXPENSE1 OF 11 fi APPUCANT.S RECEIVED TiIS AD 1IONAL <br />SERVICE Wryl-L Bb B!Ll.bD'I'O 7NE APPLICANT POR PAYMENT. <br />S ORIGINAL PUBLIC PILFSIRECORI}S SIiALL NOT BE REMCV ED mom" 1E Ef4D PREMISES. <br />6. <br />DATE Or^3v^98- <br />SIGNATURE OF APPLICANT P �� <br />r11 ��VUvn -I� DATE <br />SIGNATURE OF RIA&ASING OFF'CIA �' J <br />Pll DO 14 (REV l2t92) <br />L --0F-1 <br />