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2 <br /> SAN JoA.Qut1v COMM <br /> r�rz orr;,1EN-TALgrALTIJDZPARTME,tNT <br /> UCt 3 2006 =Q " yVcbar,hve3rdoaquFloor5tocktDD,GAX5205 <br /> 120 )469-3420-FaN- f 09)464-01361' & www-co.sazk j ;n.s�used <br /> ENVIRONMENT HEALTH <br /> PERMITMRVICES p Bt Tc Ir cow,S RELEASE AXPLICARTION <br /> ��� <br /> <'�. �`,'a°n`„smi E3U9D'IESSlAGENQY: _ � �I l�T- <br /> t'ACSIMILE: <br /> TFNTP.41`d�'APFCNH-tMFJdt DATE: —„ <br /> :@Saz'=x ali:nr 10 kusinesS data exam date of*POtior subs lldaq <br /> 1L ,. <br /> YS <br /> CMrCK SOX TO F7CPE[717E�'F-ODEST"SQ3.�i Fes-�aUEST PROCESSED 1N 3 BUSINfl55 PA ?' . <br /> a1�dATJP E QF AFPLIC-ANT _ F �L. <br /> DepanTorn Ls,W�< <br /> a Iby 1l� Pl, ,d i� —e C3 Unit i <br /> qqouS( — �UnR 2 �h 19 4 <br /> 'Jilt 5 O <br /> F-WRONiMENTAL HEALTH DEPA FUMENT FILES <br /> UNDERC+ROUND TAt#K(USTI CLEAHUF SPM(LOM L1 HOUSING ABATEMENT 15 som WASTE FACILITY ' <br /> Q FOOD FACILITY ❑ sot.ID WASTE VEHICLE <br /> STHP_R GLEAPrU!STT6(MON-LOP) ❑ DOG KENNEL M DAIR'f <br /> �s Utv4ARDOVS it WASTE: <br /> ENLRTQ#!iNG7REMOVA•41 a CHICKEN RAWCIi E+I..FUMYRFATMENTPLANT <br /> $: hya.,,ARA9US WASTE 6t5NERATQR ❑ MOTEUHOTFL CI lUMAERTRWCKf'(ARO(CHEM TQELETS <br /> PERMrrrED FAOML," - ❑ POOL/SPA M LAND USE APPLICATION.Sr1ES <br /> G TATTa°:�:1P.OG <br /> 7'iER7VC ® OTHER(PLEASE SPEGII^YI_- - _- <br /> II ME�eCAL WASTE FACn_rFY <br /> 1. List Lip to ten addresses in the space above. Select the type(s) of files frim the list aboye by checking, <br /> the appropriate box(ec), At least One file type MU Viead_ Fax to2x91464-093g or ntaiE t°the <br /> ;duress indi, ca -.ed ahaVie• law well tae confirmed <br /> jR-D- vrill notifythe applicant if any EHD files exiappcgxlma,ely flue business days but no later than ten < O11fents should be schedule lecNs <br /> will be held for a maximum Of five business days for review. App <br /> Accordingty. <br /> 3, A file that IS scttfeiy being worked on by EHO staff may not be immediately available for review. Anew <br /> appiluatic,n may be submitted when the file is available. <br /> w,;e not returned fn the same condition as released wtil be reorganized by EtiR staff at the expanse <br /> H ;• �� i,snt. r avrc.file reviews by the same applicant may rewire a$93,00 deposit pc?°r t° reYiew, <br /> 5. °TENTAff° K appointment data$must be confirmed with EHD staff. <br /> 6, Applications receivod after 3:90 pm will.be processed the next business day. <br /> 'p31?'n•d.l. h� JXi ! <br /> CQ "FlRM11 t+R ft3TbfFNT dAT 'r r %� _ TIME _=`•''. i I <br /> t,..,.rF -INITIALS <br /> ;e=iRMED .�� PHONE AX <br /> BATE' <br /> RrV1FWE , YEv!_ NO RF-VIEW ' <br />