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rUiY-1&S 1HU UU;b4 CKUK & RHLIMVWbd1 CHA Nv. 4100ft'd13i nue <br /> ' 05-11-1994 03-46PM --lUM TU 14155' 131 P.02 <br /> M,613" 'ex <br /> SAN J'OAaQUN COUNYY <br /> � <br /> PUBLIC HEALTH SERVICES 511-711 �tO.cJ 1_ <br /> ENV=0P JVII NTAL�I<�DIVIM y /Ltv <br /> rusk PJWGJ ns R=AU APMCA SON <br /> APPLWAM -614TT qdQ 54@64 ZStm Nd <br /> AIDDRIM ITO so.AKPt}IB(C bwNFsSze 324 j �ey3 ltk�a� Ch �t4�f 11Z <br /> too4wij A6EMPF NAME eWyk 1KAu,40WWI .1l4c-. PHONErF0 <br /> ADDRBW <br /> FIIJ3 ADDRESS TMAD AGEZ= <br /> 1440 W.Cf}Ri.'K WAY atG W 5^95 <br /> r� 3E 1045 W. CttaMa WAJ o- - Gi�E1JLWfc 1.Nwo�itAAafb �rOftt'�cR�� NOr+tEW�1i COwI�Q�cztmr-}� <br /> ' # Ilia W. Cott W14 �, MtO CALTRAaOk <br /> yG <br /> 17.34 W.pI��WM1 CPU?Owen Mia e4pil twT <br /> i?-45 W. G"m W .714. EduiPm U'r ooMe!r \# <br /> 437.1 W. t,*Ait.�c¢ vim ASSOC�+ O'TWu-�txt tVtcf <br /> 1511 W, GtMI m W1rt {!dt T$adT 'fR►Ga� try- _ <br /> 00 NMry Dawf <br /> ,JC 4� 1240 ti4INy Dec 3-5-,ga ST'a'a l&&n!k a <br /> I ol j44S 'wA44:D wti UKA Keg&Qs.;m*J <br /> THI6 NOTIC$ IS SMECI' TO THE REQUIlUMON" lblavruwo IN THE PUBLIC HEALTH <br /> 9FAVIC3;3BVVIR�HEALTH DIVIMON WED)FULECT PY4-W7,tFdZdANCE CODS OF SAN <br /> IOAQVIN CCIUNt'Y, MID FEES AND SERVICE CaARGE RE90LDUON3, STATE WATM Cons. <br /> GOVERNbUiNT CME AND' EvHw Nc R CODE. <br /> 1. A MAMWM OF TEN(I0g PREaIIISB ADDR&SM M REQUE3T. <br /> 2. P`JE'LiC MMfflBCM?DS REVIEW ARE BY =2M� T ONLY. APP02CMVW0 ARE <br /> ARR ANUED BY CALLM CM9W8-WW. OFFICE HOURS FM APPOUTWU'S ARB MJM6 = <br /> MONDAY TIMU FRIDAY EXCLUDING HOLIDAYS,8-00 AAL TO 1 04 NOM AND 1_00 P11L TC)430 <br /> 3. A PUBLIC RECORDS PJSLEAM APMCA*UON ANDA O ]fl5P=r alp S7&w <br /> 13 REQUIRED- DO'==WML IM MY)RNHD TO MM APPLICANT IF T1M Arg <br /> NOT AvAU 4 E WMM mg C[ISMD r of mm Euv. <br /> 4. THE ABOVE IDMM MM DEPOST IS ADPL 33 TOWAIMS MW TOTAL FII 11 REVIEW FM <br /> CITARGB. TRE BALANCE OF THE CHARM ARE DUH AND PAYAIU,E TO REVIbIMWM TEM <br /> 5. PUBUCFZEWRECMWSNOTRBrMWMINMMsAmmcaNntncgiAspmcmv3zDwILLjm <br /> CaR.BfiCTM RY ?RrERD STAFF AT 17M E3CPEZ4= cw TIM AMICANT. nM ADDl CNAL <br /> SPAVINS'WRZ BE BIL M TO THE APPIW-Va PM PAYMENT_ <br /> 6, Om GWALPumic mBTIRmmm miALL NOT BBRIiM'OVBD FROM THH IIID pF mm& <br /> SIGNATURE OF AFMCANT , Al 1 DATE S/!2/ <br /> OUNATURBOPRELEASING OMCTAI: DATE <br /> IIff Od 14(REY 1"2) <br /> 7UTCL P.02 <br /> MAY 7'W <br />