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A?�-'Lo <br /> q -o5 / <br /> SAN JOAOUTN COUNTY <br /> PUBLIC II14Ai P11 SIsRVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION ( . <br /> ApPL1C11N.1, G• O1Le,}7?1- PHONE NO y7�- <br /> `/CGL-- <br /> ADI 112 Rlss a7 , C <br /> AGENCY NAME- PIIONE NO <br /> ADDRESS_ __._— <br /> k 4 4 4 i* 4 k 4 L # 4 L + w 4 + + + } w w + + + k k 4 4 4 k } }}# # k# k# k**#**** 4* 4# <br /> I3US1NIISS__N11MLL PRUGRM OR <br /> FULL._AIJURL'SS TyL 6 OF L"_14G <br /> FACILITY 1! <br /> �Z� { ol . j <br /> �;�JI},SF,.��W� v' (,.a r �. 4ryt . -,FI2_ Uv�� <br /> k 4 + k + k k k # *} } k k k** 4 k k 4 k k k k# 4* k k 4 + k 4 4 k k + 4 4 i k +# k 4 +* **# # k } *# 4} 4 k** k <br /> T1-IIS NOTICE IS SUBJECT TO THE REOUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SF.RVICFS/ENVIRONMENTAL HEALTH DIVISION THDI POLICY #94-007. ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EIID FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE. <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> ----- - - -- — -" <br /> —ISE ADDRESSES PER REQUEST <br /> (• CONY A.01,E A R V 209476-2'711% <br /> v) IiPRF:SIOIiNT 476-24(41 FAX IS BY APPQINTMENT ONLY_ APPOINTMEMTS ARE PROCESS- <br /> l(r) <br /> )US'IRIAI.PROPFRrIF.S rICF IIOURS FOR APPOINTMFNTS ARE SCHEDULED MONDAY <br /> 'S, 8:00 AM TO 17:00 NOON AND 1:00 TO 4:30 PM: <br /> "CB SSE APPLICATION IPRRAI IS REQUIRED. <br /> COMMERCIAL <br /> C' COM41PRrrAI. nd;..dnRSnlndr.'rhb'.'h TURNED IN THF SAME CONDITION AS RECEIVED WILL BE <br /> RAI. <br /> Esrm GROOP.IN('. Lrrnl 6nnwl dR. U.,ld.edr <br /> 1776 W1!sl'MARVII I.ANF• THE EXPENSE OF THF APPLICANT. THIS ADDITIONAL <br /> SUIrr. 1711 <br /> 07) <br /> ST(K'K ION,CA 95207-6450 RROKI;RA(II'.S)'(VI('i:,S 'PLICANT FOR PAYMENT. ISEE EHD POLICY 94- 0 <br /> 5. ORIGINAL PUBLIC FILES/RECUR -$HALL PIOT BE REMOVED FROM THE EFID PREMISES. <br /> .... .. . . ... <br /> DATE 2- <br /> SIGNATURE OF APPLICANT 1, <br /> SIGNATURE OF RELEASING OFFICyJ DATE <br /> El 00 1,1 (REV 9190) <br />