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08/19/2003 14:14 818-361137.9 LAURA CATTANEO !'AGE 01 <br /> L <br /> ENVIRChU1ENTAL HEAPAGE 41 <br /> 00/19/2003 13:02 4640138-..' <br /> Lnul.wrvuwroen <br /> DATERECt�Y!D SAN JOAPN <br /> COUNTY <br /> �PTAL REALTE(DEr <br /> ARTMENT <br /> UNVIRO ' l <br /> AUG 1 9 2003 304 E Weber Ave 3`1 Floor Stoclaon. CA 95205 ca ua/ehd <br /> (2o9�468.3420 Fau: (209)464-0138 Web: wotrn•co san-joA9 <br /> LEASE APPLICA'T'ION <br /> S PUBLIC RECORDS RF <br /> APPLICANT: LPIVRA CS,~tC'F1'Rcb 0U91NL961Aa6NCY:rt _ � Q, C� [�t3y2_ <br /> ADDRESS: <br /> �J�o(. (c`�G FACSIMILE: <br /> P11ONF:, TirtM' <br /> TENTATfVE*APPOINTMENT DATE: <br /> (please allow 10 bwlncsn tl�ys from date of epplloaaon sabmlNal) <br /> jR <br /> HP <br /> 1 DU91NE3$DAY <br /> CHECK BOX TO 6XP60fTC RrouEST"S9 UPROC11a3GD)N DATF <br /> 51ONATURE OF APPLICANT Dopertment use Only <br /> UNIT <br /> FILL ADDRESS Q unit 1 1 e\ <br /> 6tt . o <br /> aiC <br /> tUn <br /> 4 <br /> a <br /> [] Unit 6 <br /> ry <br /> " r <br /> 2Gu3 <br /> SS��qq <br /> WRON EM NTALHEALTHDEPAR7MeNTFIL/ES <br /> 4I SOLID WASTE FACILItY <br /> Q HOUSING ABATEMENT Q SOLID WASTE VBHICLC <br /> [7},INOCROROUNO YANK(LIST)CLEANUP 611E(LOP) Q F000 FACILITY ❑ DAIRY <br /> t'�ff��THE0.a.EANUP 8RE(NON-LOP) O DOC KENNEL Cl PKO 7'R®ATMENT PLANT <br /> T UNDR'ROROUND TANK(MONIYDR1NGRtEMOVAL) n CHICKEN RANCH ❑ pIIMPER TKUCK/YARCICHEM TOILETS <br /> LYHA7.ARDOUe WASTE GENERATOR ❑ MOTRUHOTnI ❑ LAND UaR APPLICATION SIT" <br /> ❑ TIERHD PERMITTED FACILITY Q POOl1SPA <br /> ❑ TATTOOISODY PII:RCINe ❑ OTHER(PLEASE SPFCIFI� <br /> 6/MaDiCAl WASTR PACa-m <br /> n <br /> 1, Liat up to tan addreaseS in the aparu above. MUS the types)of}Ilea Trom the list aboye AY e <br /> the appropriate boX(es). At least one file type e MUST be selected. �Y� 40 140�r mall tv the <br /> adds Irtdi ac teQ�$ a y ointmentforr�iol+willbvconfirmedflies <br /> EHD will notify the applicant If EHD files r than <br /> te a10 da B after receipt of application. <br /> 2' ointments should be scheduled <br /> approximately fNa business do but no later than ten(10 y <br /> will be hold fora maximum of flue business days for revnot beSmmadiately available for review. A new <br /> accordingly. EHD staff may <br /> 3. A fife ati Is actively beInQberm worked on by EHD staff at the oXPenao <br /> application may be submitted When ills file Ig avallahlo.will be anlzod by <br /> 4 Any file not returned In the game condition as same etrepplrant may require a$93.00 deposit prior to ravlew. <br /> of the applicant. Futuro file rovlew■bystaff- <br /> s. App eeUona recaiived site-TENTATIVE appontmenta3 00 pm wilate$must lll be protea seconfirrried d he neDxt buslness.day. . <br /> TIME <br /> CONFIRMED APPOINTMENT DATE PHONE FAX INITIALS _ --- <br /> DATE CONFIRMED REVIEW DATE <br /> RtN1D YES NO <br /> Ys�oo1 <br />