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SAN JOAQUINO Envirnnmenta ealth Department <br /> COUNTY <br /> Greatness grows here. <br /> COMPLIANCE SCHEDULE AND AGREEMENT <br /> LOCATION: CITY: <br /> lvill l`�r7��� c ' i;c°61'l��!✓ <br /> PROPERTY OWNER NAME: <br /> EGNI j �S <br /> List activities needed to correct all violations and provide the date the activity will be completed. Provide additional specific <br /> information describing the activity: type of unsafe or unsecured condition,type of pre-permit activity(i.e. preparation of <br /> plans, asbestos survey/utility disconnect for demolition),type of permit needed (i.e. local building permit, well or septic <br /> permit, State Housing and Community Development permit), etc. Use additional paper if more space is needed. <br /> COMPLIANCE ACTIVITY COMPLIANCEDATE FULL DESCRIPTION OF ACTIVITY <br /> Unsafe Condition Securement <br /> 19 <br /> Pre-Permit Activities {� 'l,, <br /> Obtain all Required Permits 51�b all b11� P�>�� ( Jv�T�'►ef— PSD a4� <br /> Repair/Demo Task <br /> Repair/Demo Task <br /> Repair/Demo Task <br /> Repair/Demo Task <br /> VIj <br /> Repair/Demo Task Nv R011,MENTAj y <br /> FA 1 <br /> Repair/Demo Task ' <br /> Final all Required Permitsri , 1 (� VI 61IN jj�m <br /> As the owner of the property or authorized agent of the property own r, I do hereby agree to comply with the <br /> abatement schedule noted above to resolve the violations cited by the Environmental Health Department. I <br /> understand that if these activities are not completed by the dates indicated, administrative.fines/penalties may be <br /> imposed and additional enforcement actions may be taken, including referral to the District Attorney's Office. <br /> SIGNATURE OF P�OPERTY OWNER/AUTHORIZED AGENT: PHONE: <br /> TITLE : DATE: <br /> I K0tZ2-'y <br /> (EHD USE ONLY) <br /> NOTICE AND ORDER TO ABATE DATE: I PR#: I <br /> APPROVED BY: DATE: <br /> EHD 1300 XXXX 9-2018 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />