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Y:AA '1 U^ J:I.. IVJ.: •v <br /> -0/ 7 <br /> JAN 19 2000 � - <br /> N`JI€tO 'TAt iEAITH <br /> . ` P.ERMiT I SERVICES <br /> �� SAN' JQAQUIN CO . <br /> POHLLC HEALTH SER 2CE5' <br /> I - <br /> S <br /> ION <br /> r*14vx ONMEQTAL IiEALTH I. <br /> VI <br /> ' PFSLic RECORDS RELEASEPPLICATIO21 <br /> _P [ONE NO 41 -Fb5Z- 1QgQ <br /> ARL?L-IQANT <br /> lrf"761..� r ry ri rhnl .. <br /> ADDRESS - elt NE NO 9th 'b5z-7o60 - <br /> AGENCY HAMS <br /> ADDRESS5 <br /> ..AU�r• S NAME/ pwrfr_7taM OR - . <br /> g513f[ ADl?fl£93 . . F=MM ,■Iz�PE-CI=E. <br /> J:l i is 1C Irs T�[I IC GKi�+uP <br /> 5 r, t4 Lots <br /> p. . N. LOA. ., <br /> . o �.LpAi - A6T'ra• H r. <br /> g1 LOLKG cx 3,3i Lam' rr <br /> -b Ealy- [_p(.r[t ord l (.,IAUdG <br /> Plrtsn Ld4 LLOrS ' 537 <br /> ,12b T"�nrr Rd rzz, _,�� <br /> LW 11 ff {r' lr' <br /> 4i60' V,kToe F. <br /> TrUL1Lv�__"�'Sa•(s <br /> DO Y. <br /> ..lf1r*tkf•}f!*f•f'tf*******t.*Y#v#*#!!*!#ft 1!Y*t###'#}1t*t1R}#•I.A#}ff. <br /> C HEALTH <br /> Tyi,$Nf3TICE IS SVB,tECT 70 THE AEaUIREMENT5 iDENTI IED#9 00�p ORU ORDINANCE CODE OF - <br /> : SERVICE`SfENVtAONMENTAL HEALTH,DIYI$tON (EHDI POL E WATER CODE. <br /> g'�o�pl j;oAQLAN COUNTY. EHO,FEE.AND SERVICE CHARGE ESOLUTIONS,'S7At <br /> GOVEjjf;4j LENT CQDE AND-THE EVIDENCE-CODE. <br /> MAXIMUM OP TE—ftiV%PREMISE ADDRESSES PER R QUEST <br /> LY APPOINTMENTS ARE PROCESS <br /> RDS REVi - - <br /> OINT _ - <br /> Z. POBU FILEglR£GQEW:IS BY 0eP_._—amu'T <br /> "EnDiAU.FR DAY, EXCLUOINB.GIN <br /> 3HOLIDAYS: 8•.O420. OFFICE ND RM TOuRs t T 00 F GONE AN 1 OOSTO�30 Pp1MONDAv <br /> ,A'p17g1 ICF1LE51RECOROS'RELEASE APPLICATION IF AI Z MOORED. <br /> VED MALL <br /> TION AS <br /> CrzI <br /> 4. PUBLIC FILEWRECORD STA F RETURN THE EXPENSE OF TH AP En IN THE SAME UCANT THES ADDS ONALBE . <br /> :. 'ICdRF[ECtED BY THE'EH., <br /> SEFIVIC�'YYEI-L BE SILL-IED TO THE FOR PAYME Y. (SEE EHD POLICY 94- 007) <br /> pRIGINAL PUBLIC'FILESIRECOROS SHALL NOT BE REM VED FROM THE EHD PREMISES: <br /> •...... ...... <br /> ...-.. .. ... ....- .................... DATE 1�J � <br /> StG111A'Lwl a OF-APPLICAN {( ' <br /> . DATE,-- <br /> . . SIGNATURE OF RELEASING.OFFICIAL . <br /> ' EN CO taL.tREV 9/961 <br /> . . ... .. TOTPL P.01 <br />