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SAN JO,AQUIN COUNTY �' <br /> PUBLIC IIEALTII SERVICFS�- <br /> ENVIRONMENTAI, IIEALTII DIVISION } <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> i <br /> APPLICANT DI�Y>TG D �vc�rIION$ NO' 9� --az6 <br /> ADDRESS A 9S- 7 <br /> AGENCY! NAME " PHONE NO. <br /> ADDRESS ' <br /> !! $, n r (rzl VA"ryzon a l0 ry <br /> 1t1 sL�L•=c" sr C rigI c&f/zT- <br /> O r <br /> rZI-61/GIOrVT ``.D <br /> zoo '67. <br /> ,uT cGb C I I <br /> o �• v s-: (.fes _ <br /> 7,1 <br /> Q f GclifS IIIIP�`'A��r1rN7 G�.S�i�s�� <br /> o/ Fs T 5 /2' ENVlQQNlMFNT,4L+EALTH <br /> PERMIT/SERVIC FS <br /> TIIIS NOTICE IS SUBJECT TO 1-1^1E�RFQUIREMENTS [DEN-nnED IN.! -mE PUBLIC HEALTTI <br /> SFRVICES/ENVIRON MENTAL HEALTH DIVISION (Fill)) POLICY#92-007, ORDINANCE CODE OF SAN <br /> k JOAQUIN,COUNTY, END PEES AND SERVICE CHARGE 'RESOLUTIONS, STATE WATER CODE, <br /> OOVERNMENT.CODE AND THE EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (10) PREMISS ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARI? BY APPOINTMENT ONLY. .APPOINTMENTS ARE . <br /> ARRANGED BY CALLING (209)469-0340, OFFICErHOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY.THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE-APPLICATION AND A NUN-REFUND-ARl E DEPOSIT OF S78.00 <br /> IS REQUIRED. DEPOSITS WILL RE RETURNED TO THS APPLICANT'IF THE FILES/RECO. ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY.OF THE END. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT. IS APPLIED TOWARDS THE TOTAL.FILE REVIEW FEE <br /> CIIARGE. THE BAL.AVCB OP THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> S. PUBLIC FILES/RECORDS NOT RETURNED IN 111,E SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THS EHD STAFF AT THE EXPENSH OF TIM APPLICANT. � THIS ADDITIONAL <br /> SERVICE'VILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC PILES/RECORDS SHAL[.NOT BE REMOVED FROM THE END PREMISES. <br /> SIGNATURI3 OF APPLCANT ,W DATE <br /> SIONATURE OF RELEASING OFFICIAL, 'DA'TE <br /> ILII 00 14 (REV 12/92) <br /> i <br />