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Ell vO 14 (REV 5/9 SAN ,IOAQUIN COUNT' W - ylj- <br /> I'UITIAC HEAL'111 SERVICIS <br /> ENVIRONMENTAL 1111,A1;1'I1 DIVISION <br /> ii PUBLIC R],-,CORDS ItI,LEASE APPLICATION <br /> APPLICANT S r°_ 6C.W) PHONE NO <br /> ADDRESS <br /> AGENCY NAME LLz2:un a- / "SSDe1QW3 P110NE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> aa ll/ Uv nJ F I I/arm C'�O <br /> 117 -✓ !,'n rr,(/n/I w 4 y _ �if <br /> Zoo 'IJ <br /> V THIS NOTICE IS SUI3JLc To TI11: REQUIREMENT'S IDENTIFIED IN TIME PUBLIC 1113ALTI4 <br /> SERVICES/ENVIRONMENTAL IIEAUI'll DIVISION (GID) POLICY#94-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, Eiji) FEES AND SERVICE C14ARGL RESOLUTIONS, ,SPAT'E WATER CODE, <br /> GOVI_RNMEN'I'CODE AND TIIE EVIDENCE CODE. <br /> 1. A MAXIMUM OFTEN (10) I'RCMISC ADDRESSES PER RCQUI1,71% <br /> 2. i'uBLIc FII"ES/RECORDS REVIEW Is RY APPOINTMENT ONLY. AI'POINTMCNTS ARC ARRANOL•D RY <br /> CALLING (209)468-0340. OFFICE IIOURS POR APPOINTMCNTS ARE SCIICDULCO MONDAY TIIRu FRIDAY <br /> EXCLUDING IIOUDAYS, 8:00 AM To 12:00 NOON AND L•00 PM To 4:30 PM. <br /> 3. A PUBLIC RECORDS RELEASE AI'I'LICATION (I'RRA) IS RCQUIRCD. <br /> 4. PUBLIC PILES/RECORDS NOTRENRNCD IN TIIE SAME CONDITION AS RECEIVED WILL BE CORRCCTED <br /> BY TIIE DID STAFF AT THE CXPENSE OP THE APPLICANT. T-IITS ADDITIONAL SERVICE WILL BE BILLED TO THE <br /> APPLICANP PPR PAYMENT. (SEE END POLICY 94-007) <br /> 5. ORIGINAL PUBLIC FILLS/RECORDS SHALL NOT BE REMOVED FROM THE LFID PREMISES. <br /> SIGNATURE OF APPLICANT l DATE <br /> SIGNAnREOF RELEASING OFFICIAL, DATE <br /> NO ITIS/G(D RECORDS/1'ILGS ARE IDENTIFIED: <br /> I( IIATI• RIINRM6II RTt NOniIGTnN 1)Aln: <br /> PIIS/EIID RECORDS/FILES EXIST ON THE ADDRESSES) NOTED. YOU WILL RE NOTIFIED WHEN <br /> RECORDS/1711.09 ARF. AVAILABLE FOR REVIEW: <br /> bA,nv Rm,nr,ln�n KnnremN pA,ne <br />