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FROM J.Schetter PHONE NO. 5306667692 Aug. 12 2005 12:29PM 1P3 <br />/V+i/■V VV llll 'JVVV Mil I�JUUJ�U�]5 <br />S.�H JoAQu�►, Covz\Tr�.' Fxvrx(�N�zEr���.`�3r���.��zx ;vt�rr-r <br />SERVICE RE01 Tr -q r <br />-- COIYTR.ACTOR I SERVICE REOUES'TOR - <br />MOA .?. O ' /tom i t ` I / ■ <br />-010,W&A6IMIIIiiI2 <br />i �s <br />X the und:Jsncd property or bustnas owner, operstar or ■uthorhed afent of same, <br />nck" &494 that Wt'rita andlar proj eat tpeerf a ENvrRoN&f aMAL .qPALIV DEPA.aTMwr bou4y charges t►990aiatrd wifh tbiv projoot or <br />acdviW will ba bllied to nse of nW Ausitass a; idcntificd bio *it fot n <br />I also" =t* rbt I have prepared this mppliczdoa and ti52t the work to be performed trill bo dont in accordaaec with RH SAN JoAQuna <br />MwrY Ordineacc Cvdca, Staadm'tr r, ATE a,+ui PME>;Al, laws. <br />AIT LICANT'SSIGNATIJRriQ/ pxft 1 Z <br />L,-05— <br />prAvzR"IRUMwUvvNn P TOt[!IlfAt AcZK 12. OnItt AtyT0DR M,&cmT ❑ <br />If.Uol�GM 0 wt lAtC dPtiar proojaf aulhar h M Sige is required Mic <br />A=01aZATION TO TTON: Wbro applicablq Y, tltc Owner or operator of tho prvpm* Iocaud at tho <br />abavm alto addrack hweby aauttrorba fat rejusa of cW mad ail resutt9, geoWkdcal daft andbx -vegsmemc <br />iojb=Jj= to dw W JOAgWK COLVM ENMONr ENTAL HEAL7S D5YARTMFNr ss soon 29 it is AVr21kblt nud at tha taloa fi= it i$ <br />prWidea to tna or my rapreitutive. <br />TYPE OFSFJtVICQMt1ES?Etl; 'aer-6/aar-r�— <br />tV&-Id i -a 6ren-6 00-f- ,n d <br />Se- x.00) p t- ,rJ S <br />Iv. <br />AUG 18 2005 <br />Aeelr'rio BY:I,�,� <br />EUFLOY� 9- L 3 2 I AIgidN T <br />Date Stemita Ge mpleted (if <br />SRM coop /cl .2-3 <br />Fee 6�maurd: '`f ;: '. 2 `; . c 7i _ <br />Arnouht P214.02 — <br />pa- Date. , 5 <br />Peymmnt typo Invoice # <br />--�... <br />CFteck <br />R� hrre B <br />fiH D ¢6-02'025 SR FORMI (6�0M <br />RWWS�D IVI711M C\7 <br />