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T <br /> RECEIVED <br /> SEP 10 2014 <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SFRvirFc <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 Hazelton Ave <br /> Stockton, CA 95205-6232 <br /> ----Subjecf: CERTIFir-E) LIS"f-E4F-REC9RD-FEZ-T EOR:_ <br /> SITE NAME: z d2 L2 ,7 <br /> ADDRESS:/ <br /> Complete#1 if there are multiple site landowners. <br /> Complete#2 if you are the sole site landowner. <br /> 1. In accordance with Section 25297.15(a) of Chapter 6.7 of the Health & Safety Code: <br /> Name of Primary or Active Responsible Party: <br /> I, certify that the following is a <br /> complete list of current record fee title owners and their mailing addresses for the <br /> above site: <br /> 2. In accordance with Section 25297.15(a) of Chapter 6.7 of the Health & Safety Code: <br /> Name of Responsible Party: <br /> �{ µ certify I am the sole landowner for the <br /> ,��FA-y1r ice— - <br /> Alaove <br /> Sincerely, <br /> f�zte <br /> ,,ic,n2iin'c <br />