Laserfiche WebLink
PUBLIC HFA.LTIA SERVICES <br />> ONN ENTAL 11FALTII DIViS`i <br />PURI, C RECURI)S RELEASF APPLICATION <br />APPLICANT c) PTIONL NO S -22 -,S'/ <br />ADDR-ESSAcc /ioeo Fr�Iwv S lIe f 4 ,» a�C/{ 9y5 -r <br />AGENCY NAME _ tHONE NO <br />ADDRESS <br />FILE ADDRESS <br />LEAD AGENCY DATB <br />i <br />TFI1S NOTiCE iS SUBIRCI TO "IR REQUIREMENTS H)r"t--fED iN THE PUBLIC HEALTTT <br />SFRViCES/ENVIRONMENTAI.I18ALTH DIVISION (EHD) POLICY #92-07. ORDINANCE CODE OF SAN <br />10AQUIN COUNTY. EHD FEES AND SERVICE CHARGE RESOLUTIONS. STATE WATER CODE. <br />GOVERNMENT CODE AND TI1E EVIDENCE CODE. <br />A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br />2. PUBLIC FTLPS/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br />ARRANGED BY CALLING (209)46R-0340, OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br />MONDAY TIRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 11:00 NOON AND 1:00 P.M. TO 4:30 <br />P.M. <br />3. A PUBLIC REC_ORD9 RELEASE APPLICATION AND A NUN-RFPUNDABLE DEPOSIT OF S711.00 <br />IS REQUIRED. DEPOSITS WILL BE RFIiIRNRD TO 111E APPLICANT iF THE RLES/RECORDS ARE <br />NJ'T AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br />4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FiLE REVIEW FEE <br />CHARGE. THE BALANCE OP T11E CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br />VOCUMENT(S). <br />5. PUBLIC FiLES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br />CORRECTED BY THE EM STAFF AT 714E EXPENSE OF THE APPLICANT. THiS ADDITIONAL <br />SERVICE WiLL BE BILLED TO T14R APPLICANT FOR PAYMENT. , <br />5. ORIGINAL PUBLIC FILES/RECORDS SHALL NO"P BE REMOVED FROM THE EHD PREMISES <br />SIGNATURE OF APPLICANT DATE <br />SiGNATURE OF RELFASiNO OFFICIAL <br />EH 00 14 (REV 12/92) <br />DATE <br />-0'd TFLSS930TST Ol WOdS WOLS:60 z65T-Oc-'��o <br />