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"r L' :: n.entorlMl TD 13039800089 P.02 <br /> Prolsel luN7fmra __ — . <br /> fr.c'_ flee e ., icd �ic�ay �IJS <br /> PINYON ENMRONMENTAL ENGINEERING <br /> RESOURMR.INC. <br /> 1 QTS S.Yukon Shoat <br /> (3D3)ael}52l'A SUR.320 <br /> 7031 98"m ftx) Lokrwnd CO 80276 <br /> SAN ,70r1QUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> LINVTRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICAN'r- PIiONE NO <br /> ADDRESS__ .. PHONE NO <br /> AGENC'f NAME_ <br /> ADDRESS <br /> ' srrar:ar ra as aaaa +aura*++ati+sea x+*a+rtxx*a*r•arae arstxx*t*+xsaxa <br /> Fi)r•1. 1LI7DRE53 BUgICIF° NE/ PROGRAM OR <br /> ,-r_•: r <br /> LEI,r },i_131 r- '�` I�yC c 1 Ar f a l C„6rr'of <br /> ,is �4�P ' )�a/'rti�!+ {)— ir�c7 Cr nTFSE <br /> LIr'crtra ILusl /Gul <br /> b,_,,gip./ Pn IYYt(J IGS....r., L. <br /> No� loco ID25 Q / ,tr?T Y_, I� `�•C�he �h1r" -ricA,l,N.O It'.S' !' i � /J� <br /> rnA3Jr�.r� jt � , � I ��• 13„r 4�jiir. —t F7r �; "1. c^ tr,�.._.r+�t=°`� _ LL...�. <br /> � iarraraa+ta 4ra aJ raraaa as arf afa lraa♦raa+++frr aft as tlrfa+araair ta* <br /> THIS NOTICE IS SLI13.JECT TO THE REQUIREMENTS IDENTIFIED W THE PUBLIC HEALTH <br /> SESVICES/ENV7RONMENTAL HEALTH DIVISION {EHDI POLICY 194-007, ORDINANCE CODE OP <br /> SAN J NMENT COUNANOHHE EVIAND DENCE C700E-CHARGE RESOLUTIONS, STATE WATER CODE. <br /> GOVE <br /> IDE <br /> I A MAXIMUM OF )EN L121 PREMISE ADDRESSES PER REQUEST <br /> y, PUBLIC PILES/RECOROS REVIEW IS BY APPO d APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING <br /> THRU FRIDAY EXCLUD G3HOLIDAYS. 8 00 AM rOR12 00 NOON A APPOINTMENTS 1:00 TO 4-30 EPMMONDAY <br /> 3_ A PUBLIC FILES/RECORDS RELEASE APPLICATION IPFIRAI IS REQUIRED. <br /> a. PUBLIC FILES HECOROS NOT HO STAFF AT THRNED 114 THE SAME CONDITION E EX ENSE OF THF_ APPLICANTAS THIS ADDITIONAL E <br /> CURRECSERVICE ED RY _ <br /> SERVICE WILL BE BiILED 70 THE APPLICANT FOR PAYMENT. IEEE EHD POLICY 9a- 00 1 <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE *40 PREMISES. <br /> ... . ...... <br /> .............. .. ........... <br /> _ f...........�1.. DATE A <br /> SICNArURE OF APPLICANII '' _)^ r• /9r• r7 <br /> DATE ' <br /> Si(INATURE Cr RELEASING OFFIC <br /> E EH UU 14 ME,) 9061 <br />