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T9'd 1ti•LQl -- . - <br /> E)F para red- - <br /> SAN JOWUIN COUNTY <br /> P(ML,ZC HEALTH SERVICES <br /> EM"RONMENTAL REAL'iT11 DIVISION <br /> FUSUC RSCORD3 RBLE"13 APPL.ICATTON r <br /> APPLICANT Tp0 LC G L_/q S C. J/jC,o&5rHQNIa no �S �ve7 <br /> ADDRESS A- <br /> AGENCY NRr4E N —PHONE NO I <br /> ADDRESS - <br /> ' I <br /> .x..�*«*�,►*...,,+***tii�f«*,►**,r...�f«tr.r.t«t��«t�ttt�t�f#�...*.,��w+t - <br /> FULL ADDRESS .HUS INESS NM PROGRAM. OR ` <br /> FACILITY �S eta. �� TXPE OF FIL F <br /> .3 !? /Vo.,cwz�FoR�ylr-1_s 1�A�-/°itt.l►+I-�••� !fit- ! �! -S _,. _ <br /> - � I <br /> I <br /> t <br /> THIS NOTICE IS SUBJECT TO THE REOUIREBAL-WTS iDENTIFIED IN THE PUBLIC HEALTH <br /> S£RVICES►BNwRONMENTAL HEALTH DIV151ON (EHE)) POLICY 094-007, OROFNAMCL CODE Of <br /> SAN JOAOUIN COUNTY. EHD FEE AND S@RVICC CHARGE RESOLUTIONS. STATE WATER CODE. <br /> GOVERNMENT CODE AND THS EVIDENCE CODE. <br /> 1. A MAXIMUM OF 10 JJM PREMISE ADDRESSES PER REOUE=ST <br /> s. PUBLIC FILESIRECORDS AEVI€W IS BY Af I�OJ!JjMgW ONLY_ APPOINTMENT'S ARE MOC4 <br /> ED BY CALLING (INK68.3420. OFFICE HOURS FOR APPOINTMEIKTS ARI: SCHEDtJLEI7 MON�AY <br /> THRU FRIDAY EXCLUDING HOLIDAYS. 8:00 AM TO 12;00 NOON AND 1;00 TO 4:30 PM. <br /> r <br /> 3. A PUBLIC FILES/RECORDS RELEASE APPLICATION (PRMI IS REGUIRED. <br /> r <br /> 4. Pusuc FiLESIRECancs Nor RETl mem IN THE SAME CONDITION AS RECEIVED WILL 015! <br /> CORRECTED BY THE FHO STAFF AT 'nig F-XPSNSE OF THE APPLICANT. THIS A130ITMAL <br /> SERVICE WELT. HE II LEO TO THE APPLICANT FOA PAYMENT. (SEE:IIID POLICY 94-0071 <br /> 5_ ORIGINAL PIJMX FILESMECOROS SI4ALL NOT BE REMOVED FROM THE 6HQ PREMISES. <br /> waw�rwwrawawrawrarwwarr • rtw•*w•*rarra+aaawrarrrra�aaa t♦ aaawrsa.aaawr� ra <br /> SIGNATURE OF APPLICANTS C. TE t� o`�-� -7 S <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 91991 <br /> 1 <br />