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05/11/2011 09:12 80523909 SIERRA DELTA CULT PAGE 01/01 <br /> EHDLOGNJM <br /> M <br /> z z pA1 CENED SAN JOAQUI14 COUNTY <br /> y in ENVIRONMENTAL HEALTH DEPARTMENT <br /> A D "' /� 600 East Main St.Stockton,GA 95202-3029 <br /> 5 3 o03: \ Telephone:(209) 46&3420 Fax: (209)464-0138 Web: www.sjgov,orglehd <br /> N r m PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT; A0A"'f tTn�-A!s�N BUSINESS/AGENCY: SrXPh1 'Rga7A <br /> ADDRPtS: `ifBS"� +✓ cnflrA! AWe CITY/STATEMP: .fi&sndD <br /> PHONE(1): S'.+9-A;P'9 a I�1 PHONE(2): FACSIMILE: 559, 22"9. eWf 5'4 <br /> 7t/VTI 777 APPOINTMENT DATE: S-,To ? /sr4,y 7 Time: •IZAy <br /> (Plano allow 10 bueanees tlaya horn tlam ofapPllwl7bn eubmleal-•Tenredw bitty•mual bo eonftr+nM) <br /> OHECK WX7O EKPE'DTrE REQUEST.-5122 FEE(CA o HECK ONLY)-REQUESI-PROCESSED IN 3 8V$IN DAYS <br /> SIGNATURE OF APPLICANT ' DATE /� W <br /> Etectronlclnformation: ]:List©map-beaoription:. <br /> FILE AMRE.SS EWD uaEotav <br /> 1/ S'tnbtR onset rww. city .G-- Unit7 <br /> 1• /// E MM.> X�4rai L.ob <br /> 7. 'r.1/iNE. �'yu.:WTyt . Unit:2 <br /> 4. nna <br /> 8; nK4 <br /> 7: <br /> a unk a <br /> Wnnfa <br /> opeC106 Delo ttsnge to Inlomfenen Rea(u"sed: rr" f <br /> �ENVIROWMEN1ALHEAI. DE:PA E FlLES I �' <br /> UNDERORgaIo TANK ST]C <br /> (IILFAxuPSIrE(LOP] ❑�flOtrSINTi Aear6MEM r1S0MWASPEFAMrrYV9iICLE <br /> arxMennCLFrm,P-BrrE(Y1DN•Lor?) 1 O FAcLffy EJWA TRE <br /> uORouND TAMC itiwtara AL)n p:nod KENNEL p DA*Y <br /> ( FfAZARpOpBWACIa:G'F1IMTOR�R ICi9Yp(Ct RANckI (p--(WA9 VUAMTgEATwmTPIj <br /> [I�TtM PegmwM FACIuiv �':111CTEUWGteL H Ft111PEpTRwxjYARDXflm bALT09.rm <br /> .❑TsTrooGc0Y PEwrma IOPOUMPA []LAND USE APKXAntltfSnes <br /> 0 Aa*ALtlyM`rEFAclLffY Ej Om(f!l.'EW&MIFr) <br /> WELL AfH]$Ohr10 PFJZr1IT'ft6OON05 AM!AVAIUIDLR',FOR REVIEW,.MONDAY•FMMY 8:00 AM-64,001`1111 EXCLUDINQ HOLIDAYS) <br /> i. _fel,pp fa tsn�ad4r, ;ln'thn apdcn atrave„ Sella tho typofsI of fila from the Hat abow by cbecldi the appropriate <br /> boxfeW. AR:least one file b"MUST besalacted. Pox x09t4"Ilil or MAI to the 6ojiliM Jikl above Add" <br /> ranges win not be edooptid-for.adBNional esaiatancewlth file addresses,Contact the EHD. APPII"Wm reesived afror <br /> 3:00 pin will:he prdceaaad the next bushteea'dxy: <br /> 2. The EHO pAW nodfy the applicant Wany EHb'fts exist An appointnientfbr:revlew Will he confirmd appi+br Inudety ten 410) <br /> ..days aftat Ascript bf appllRednn..The.fila¢vAh behold for a maxbnum of five buslnoss days for inview. AppolntrrreMa <br /> should be whoa ided tlecordingl , <br /> s: A file that is eetivaty being worked do by Sf$6statf may snot be ImnfedlaWy evailablo for hMew. A new application may bo <br /> subrnittledvHwdtlrafnais.'svanaNiM. <br /> 4. Any01e notrggtmYa In the tame ContlNWeas folaated will be reorligri Ad by EHD staff of the Mtpansoof the applicant <br /> Fulls Bb rsv)ews by the Samappncalit my re"Ire a$122 daposN.prlor to review: <br /> ' � lXn UeitlrlLT <br /> m <br /> I <br /> @rb to <br />