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1 9% 27F'1,1 F2011 A(J NC 2Pj9 'ckH 1-)/CLJ <br /> SAN JOAQUIN C OUNI-Y <br /> PUBLIC HEALTH SMVICFS <br /> F;NVIR0NMF,NTAI. HEALIM DLVISION <br /> PUBLIC RE+CORR)S RELF—ASE APPLICATION <br /> APPLLCANr Ker rl LjLb±11 PIRONE NO <br /> ADDRESS _ <br /> A.GFNCY NAIiFp- Ajv*cto .tc{�G�o Fsiyivovl �Fl�el ct_(_PIiUNI NO f15-6-0-46y_ <br /> ADDRESS lSoj w_ MorcLt Ln-�St?�� s)ac 10 <br /> FILE.AR Rf;S$ �rnu A-QENQ, DA'M <br /> 790j Tart OSlwnr*r Pto - vd - <br /> 77011 Tqh 0 54oi +* <br /> 7�D t^tlar,mcr. <br /> 1)•0 F. Il.�lwt,��n� -- --- <br /> 1 (4 S <br /> (7 Pr1 �C. p <br /> LL -& .----------'- <br /> THIS NOTICE IS SUBJECT TO THE REDUMEMENTS IDENTIFIED IN THE PUBLIC Fi-AF.TtI <br /> SERVTCES/ENVIRONIir-NTAI,HEALTH DIVISION (EHD)POLICY #92-007,ORDINANCE CODs:OF SAN <br /> JOAO0IN COUNTY, EHI) FEES AND.SERVICA CI4ARGE RESOLUTIONS, STATE WATEIR CODE., <br /> GOVERMIENT CODE AND THE EVIDr:NCB CODE. <br /> 1. A MA'CINIUM OP TEN 00) PRThtISF.ADDRESSES PER REQUEST- <br /> 2. PUBLIC TILES/RECORDS REVIEW ARE Fly APPO1NTh1ENT ONLY. APPOINT r-1-ITS ARr. <br /> ARR,INGED BY CALLING (209)469 0140. OFFICE HOURS FOR APPOINTMENTS ARE sowDULED <br /> },IOC{DAY TTIRU FRIDAY 07 c!-UDING 110LIDAY1, 8:00 A-K TO 12:00 NOON AND 1:00 P.;I. TO 4:'ZO <br /> P.M. <br /> 1. A PIA)LIC RECORDS RELEASE APPI ICA'nON AND A VON_RLFU1=D.tBI,E DEPOSIT OF S73A0 <br /> IS REOURRGD. Dt_PO.rl" v.-ILL BE RETURNED TO THE APPLICANT IF THE I- LES,RECORDS APT! <br /> NOT AV,UJ-U3LE VIITTIFN THE CUS-TODY OF THE EHD. <br /> 4. IT1I: ABOVE IDENTIFIED DFPOSIT IS APPLIED TOWARDS 114E TOTAL FILE REVIEW FRE <br /> CHARGE. THE PALWCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> 5. PURf_ICFILES/RECORDSNO'rRETURNEDINTHESAMF_CONDMONASRECEIVFDWILLBE <br /> CORRECTED BY THE MID STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> r,, ORIGINAL PUBLIC FILES=-CORDS SHALL NOT BE REMOVED FROM THE MID PREMISES. <br /> SIGNATUREOF APPLICANT wt. ��'ZTu wl. _ DATE <br /> S16NAT-I IR H OFR ta_EASING OFFICIAL DATE <br /> FII 00 14 (REV 12/9') <br />