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Ell UU 14 (REV 5194) SAN JUAQUIN COUNTY <br /> PUBIAC HEAJ,TI1 SE.RVICI+S <br /> Iv,NVI tQNMI;NTAL IIEALTII UIVISION <br /> PUBLIC ItECOKDs 1tELL+'ASE APPLICATION <br /> ^I b <br /> APPLICANT PIIONI: No <br /> ADDRESS1��_ ��r �1'� ��1 �r� /i0r- <br /> AGENCY NAME I1110NE NV <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> THIS NO-110E IS SUBJECT TO '€'Illi REQUIRENIEN-I'S IDEN-I-iFII;D IN TIIE PUBLIC III-;Aum <br /> SERVICES/CNVIRONMENTAL HGALTII DIVISION (EIID) POLICY 1194-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, MID FEES AND SERVICE CHARGE RESOLUTIONS, STATE WAFER CODE, <br /> GOVERNMENT CODE AND '11IE EVIDENCE CODE. <br /> i. A MAXIMUM or- TEN (10) PREMIsn AbDP11SS0 FCR REQUEs-r. <br /> 2, PUni.Ic FILLS/RCCORDS REVIEW is nY PPOIN'I'NIL'N'I'ONLY. Arrowrn+r_NTs ARr ARRANoEn nY <br /> CALLING (209)468-0340. Orr•ICn IIOUR3 FOR Art'om-mr-NTS ARI? scim i-ED MONDAY TIIRU FRIDAY <br /> IiXCLUDIN(I HOLIDAYS, 8:00 AM TO 12:00 NOON AND I:00 1'AI •1-o 4:30 rm. <br /> 3. A PUBLic RECORbs RCLISASia AI'PLICA-rioN (1'RIZA) IS REQUIRED. <br /> 4. I'UnLlc F€LESIRECORDS NOT Rirruit D tN Tim SAMIS coNDrrioN As REcEivCD WILL III: CORRccl-ED <br /> nY TIIE CIID STArr AT TliE EXpBNsE Or TIiR APPLICANT. TATS ADDITIONAL SERVICrs WILL AE BILLED TO TIIC <br /> APPUcAKr EOR PAYMENT. (Su, EIID POLICY 94-007) <br /> 5. ORWINAL I'UnLIC CILES/RECORDS suALL NOT as immov> b r•RO&I TIIE END PREMISES. <br /> SIGNATURE Or APPLICANT LICAN'r _ ?-r--a d ��a «�- u <br /> SIGNATURr OF RELEASING OFFICIAL DA'ru- <br /> No 1714S/C11D REcoixw/FiLt�q ARE IDENTIFIED: <br /> VAt"! Ftrmwj Tp mye H(MOICA'"(W DAM: <br /> PHS/F-HD RECORbS/1 ILEO EXIST ON THE ADORESS(ES) NOTED. YOU WILL BE NOTI riu WIICN <br /> RrCORDS/rILIis ARE AVAILAHI.E FOR nEVIEW: <br /> (lwrnRmnnwnn ire KMIMVA"—PRT! <br />