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SAN JOAQUIN COUNTY <br /> PUBLIC IIEALITI SERVICTS <br /> ENVIRONMENTAL IIEALTII DIVISION <br /> PUBLIC RECORDS R0 E.,LEASE APPLICATION <br /> APPLICANT 3SkL,(YNk�i�•�r/o lr1v�,1��(Q beadSr!ic PIIONE NO 2e9- riYY—VZeo <br /> ADDRESS ?'p•B'rat ?-e) /TIeR rtJN ClF 4s�)-3v�o <br /> AGENCY NAME PIIONE NO <br /> ADDRESS <br /> TILE ADDRES-5 LEAD AGENCY DATE <br /> 3 o / S. A urnrA S1. e r—1,'e fVl s/cd L) <br /> Yov 5. Aurora 5t. � Ag, . <br /> k35 iF. M;ne�- 7)t c/% PO4 a <br /> 5,30 Ny <br /> . .,for S . Xr <br /> 5Yo)) N. t*L/t oG C'l^1✓Jon 54F,'c)� <br /> F <br /> �'3ri E fcv1/'�s Avc 54., k4e,.. <br /> (o3T A vror• 51 . Fl i tf ;1,6n7`�,u M Rr t LtD <br /> THIS NOTICE IS SUBJECT TO Tim RFQUIREMFNTS IDPN'IIPIPD IN TIIB PUBLIC FIEALTII <br /> SFRVICFS/ENVIRONMFN'FALIIFALTH DIVISION (FHD) POLICY#92407, ORDINANCE CODE OF SAN 6 <br /> JOAQUIN COUNTY, MID FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THF EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS 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 PUIILIC RECORDS RELEASE APPLICATION AND A NUN-REFUNDABLE DEPOSIT OF$78.00 <br /> IS REQUIRED. DEPOSITS WILL BE RFTLJRNED T'O TIM APPLICANT IF THF FILES/RECORDS ARE <br /> NOT AVAILABLE WTIIIIN THE CUSTODY OF 'ITIE MID. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIFI) TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF*THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> ROCU M ENT(S). <br /> 5. PUBLIC FILES/RECORDS NOT RETURNED IN TILE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EIID STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL. BE 1311.1,FD TO THE APPLICANT FOR PAYMENT. <br /> Oo 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT( 7Z,".,, <br /> DATE ` <br /> 1/%1'l <br /> SIGNAIURF OF RELEASING OFFICIAL- __.____________- DATE <br /> EII 00 14 (RFV 12/92) <br />