Laserfiche WebLink
PAYMENT <br /> Sow 'SAN JOAQUIN COUrNFY RECEIVED <br /> PUBLIC BEALTH SERVICES F E B 14 1994 <br /> ENVIROMWENTAL HE,AL'TR DIVISIONSAN JOAQUIN COUNTY <br /> PUBLIC RECORDS RELEASE "pLIC4fW HEALTH SERVICES <br /> ENTAL HEALTH DIVISION <br /> APPLICANT b VA �,►T�y/�t:C�tLU t__ 11IONE NO Ct I(Q- -7 726f �3,5s(p <br /> ADDRESS , D I (op =E5Ce j S/�c r�Pr171G p-} C� �S�14- <br /> AGENCY NAMI3 P/kp L :(,oZot�ME `r71Z_ 5I✓ �t �PlIONE NO qll�--J_�fj j� � <br /> AJ)DMS <br /> E( ADDRESS LEAD AGENCY <br /> l5?�Z 1J. C)rzopC7uA�1 , "olzt') CAP <br /> 4:3(—,-) LbkTE2-t-W l2 n2,0 <br /> THIS Nona YS SUBJECT TO THE REQUIRENIEN'TS IDENTIFIED IN TIIE PUBLIC HEAL'Ill <br /> SERVICES/ENVIRONMENTAL IIEALT7I DIVISION(F-HD)POLICY#92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUN'T'Y, EI-ID FEES AND SERVICE CHARGE RESOLUTIONS, STATE WAITR CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OFTEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RBCORDS REVIEW. ARF. BY "POINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE IIOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND I:00 P.M. TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF$78.00, <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITIIIN TIIE CUS'T'ODY OF TIIB EHD. <br /> 4. TILE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE 'TOTAL FILE REVIEW FEE <br /> CHARGE. TIIB BALANCE OF TIIE CHARGES ARE DUE AND PAYABLE PRIO TO REVIEWING TIIE <br /> DOCUMENT(S). <br /> 5. PUBLIC FILES/RECORDS NOT RETURNED IN TIIE SAME CONDITION AS RECEIVED WILL$B <br /> CORRECTED BY THE MID STAFF AT THE EXPENSE OF THE APPLICANT, THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. r <br /> / 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EIID PREMISES. <br /> SIGNATURE OF APPLICANTy..�n-t IZu.,1Gc.V�1l,c c 9.-� DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATB <br /> EH 00 14 (REV 12/92) <br />