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07/13/2001 07:58 915-645-9209 RIO BRAVO ROCKL7N PACE 03 <br /> =MC6REC 1St <br /> RACC-CIYIDN I S'c.�VICEREQUEST; <br /> Y ' inda <br /> lPProplf4' �I / <br /> oC b <br /> OiWw Palest O <br /> Own f <br /> FKlur NAM <br /> SaeAccREl1 �� ,� 1 '(��ai <br /> Leaning Addraas (k D@ferent from Sim Address$)' j <br /> GRY ' STATE _ <br /> PxexES1 <br /> em APNS IAHa UaEAPPL"MN: <br /> pq as ow mcr L,paATMNCpAE <br /> G0NTRACT0Rt8ERV1C FtMU5MR <br /> R8a1919P <br /> .wuesran <br /> Stumm NAME l c-e <br /> ILuuxaAn°PFss FAx� I _( o <br /> c9 Vi\u' — <br /> J�ATE Zp <br /> cm C �� <br /> BwNr3 ACKNOWL,laGF.M :t.die arccrs4neC property ar business owner, opera r pr"armed ase d of wase,admwdmga W el 36"W pf0jW 3PM <br /> NexHmTNlRulmsEsrrePIwffAHE ,Crvi>Davhourlyd=m asvodwwin015P'a1e�eredAyWebaUftI°RNofmybWbWasIdalrbr wethfarm. <br /> 1210 MMP stat 1 tux PM ared MQ 490Ataen mid tt de wk b be pe lQu7m*1 be iaaeI�manta$wU,as"JauVm CWNn'OMAWW CadBA gPmfdt STAce n. <br /> FMEPA•IMM. <br /> APPUCwr$taNATUP➢:, _ DA76_ <br /> Pp°PGRttf9L5uKS80WxE ^_ G✓Ewi"OP1 hWIAQZR AMC C <br /> eaawrwr dr max ULM—se2 ata asrhiYw trrelai l Mar <br /> 40rBtJPoZATf(,��CRE +❑SE'NFt1Rh1.�LLON:WnaYrappficrhte,Ltltecwnerarsperate�oftl:eProPertY��Md+a�"uaddrws.berehyfuba�tltetde0.5e <br /> ary ana aQ r9auC�aeeAdrtucai d=ardor er.MlnmeYaavhe a +'zrrc hdamadtn m nes bad 6aC1lial eaorsv RXl1L Nf.++.ixSEN�S Emr�tN1K7R�LHE.if.;N CNGTfI also <br /> u t9adlate"atibe lame amehk WvAded m maarmy repra6arrma're. _ --- _,-.-- <br /> YFE aP BER✓�REGaEPrID: Q\ �t . <br /> C°"utd"at r PAYMENT <br /> Kq,6c �- glappertnu k v� g7cQrcpl4-e RECEIVED <br /> I-eptace& IJJJ:bLjkO '�ec.s V- 0+1� PeO�V- JUL 132001 <br /> -Look ,p S 40 h a+^Q-\ (6i I 6-MO F^W"q7—)T0%'e SAN JOFauIN COUNTY <br /> PUBLIC HEAL-1 hI SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> tN$ Wrows9 TURS: .� CaxrRAeraR'8$7GfiA;URa: <br /> APFRCM a'r: �trPu:rocr: DAM <br /> AIiwNEai°: S SPauvEEa �� OAT£ -7 — 3 Q <br /> Dam ServiceCaRtP (rralrwdy�ampfotodltSw=cam 'pleaf�r'v` <br /> FeeAmouac AmourAFWd paymonbDara <br /> Paymr�ttTypa Inva a M <br /> Check# •3a p iaaeaatd 0y: <br /> ur- A ui T 4 £EGE094EEZ 80 bS 000i i'L0r'TI <br />