Laserfiche WebLink
POP-LIC: H H Ei1vIC: -;AN JC AQUIN C''ClUN <br /> 't tNl+�'-F� <br /> P.O. Box, 21009 <br /> oq t Khanna, <br /> SHERW57 .r - __ <br /> <br /> <br /> « -�. <br /> � S'T+.1C:KTUN, CA '952107 <br /> Bi 11 ink Stater ei, . ; .,r 19192 FerrftitUndergrqJ4 TirlkI i t•y . <br /> .3tak, t`Vat-e Jaalc,i 1{1, 1 '� <br /> Payn►erNue te: € nary t3, 1992, <br /> C:_r:taAt_er fee 00011 170 00 <br /> 170----'CD <br /> R _ <br /> d <br /> T4.lkAL .FEE'S DUE $5I0,.0- , <br /> N!_lTES 4 <br /> - Notify Public Health Services, PAYMENT <br /> Nati Joaquin County of any <br /> c.-Prections or changes RECEIVED <br /> necessary. Your permit will SEB � 3 1992 <br /> be mailed upon receipt of <br /> payment and approval of SAN JOAWNN COUNTY <br /> facility . PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DMSION <br /> etu}'n Payment alc+n-_ Wit•h <br /> coy of this statement to: - V <br /> Pt.,J =L i C: HEALTH ;LRV I C ES; I <br /> SAN JOA U IN COUNTY <br /> ,.. <br /> ENVIRONMENTAL HEALTH PERMITIS�'ERVIC�E' ,- <br /> STOC KTON, CA 9-5201 � � A V <br /> Penalties will be added after <br /> roue date as shown- <br /> 30 <br /> hown;0 'days •- 100% of Base Fee <br /> 1, � ..�� r•'�� <br /> 1 _ <br />