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HNICAL T'EI,:916-371-1809 Jan 1,1 '95 13 :54 No .002 P -021: <br /> SAN JOAQUIN COUNTY <br /> PLTLIG JE ALT13 SERVICER <br /> j,N-Mo > NTAL 1RAULD ]DIVISION <br /> �cra�lr.ic up.CvlknS RzLEA6E ArMCAMN <br /> AM ICANTCAJ nJ, ►tr . Pxcxs riv Cgr6) 37l cud , <br /> AGENCY NAr+m C45CAI 'srivr t PIIONB NO, , es.�,.-r�� <br /> ADDRASS [ rr <br /> &;-./ <br /> ` a y iZ6i� ArBIYCY DAn <br />��© I�IC.iGS G7�cc�!� Z3�,C� J=ASi �i�2�.Gt, ,'T2�[�� � 35•Z� �� <br /> s. ,y��"► =�_�`3 2r'nr SCS 7S t�. G%1r+�,r r-J� via • T �G' r c wr 35 Ac, 1 <br /> f G rp TaAC-1 s151Z LA 4-E 0� rE r2■ 5 2 , 6:f&41-t r-'t .ice f 7 ��A 42 `t <br /> Z' P"z"-1Ij Foo <br /> o/3 r4 <br /> Jae�3f��z ill CASE <br /> €1 <br /> Ims NOTICE IS SURMC1' TO '"III IiPQUIiiflMllN T:q U-19NIVIED IN THE PUBLIC HEALTH <br /> SERVICE.1f£.4'jMONNljamTALHAAlmI tit%IgIcIN(LIMA)Pullc,'Y I47-0m,URDENJINC'E COON OF 3AN <br /> JOAQUTN COUNTY. MI-0 tRF-4 AND SPO VIcU {•#LARGE RESOLI"ONS, STA'T'IC WATHK CODS, <br /> uov=NMBNY CODI3 AND Tm nvim-wi m v ju. <br /> t. A IfAXTMIRA rip-rrFow (m) Pwous$ADz)Rw3m Put RBQUSST. <br /> 2, tt]311C Fff.P Rl!txlplW5 REVIEW A J9 BT $,pMga.X. APPOtN7'MM4TS AM <br /> ARRAKono ey cmj wo pw)46m-(y34}. :LIMCE 110L 3 FOR APFOWTIAI3 M ARE SMUTM <br /> MONDAY nMU FRIDAY VX[!LI tllN0It«iMAVS,,e:Oo A.M.TO MOD' OON AND 1,00 PA.To*30 <br /> 3. 11 I'I)LSLly.HFl_'oRi3S RELBASE APPLICATION AND A WK-REWDABLE t]t3IxAr OF$78-00�. <br /> I.c kl+ttl IkED. !: 103M WILL.BE R.ESUI6%fjlD 1'0 Tn AFFUr-ANI IF TnU Inf-PS?IIW)RUS Juin <br /> NOr AvAILABLE W Mli THE CU3TOD't OF nM EHD. <br /> d. T118 ABOV$ 1DENTIFMD DOP08IT M ArPrjT%p 'r)WARLIS lli$ TUrAJL FILM *Xv]XW M <br /> CHA3tU$, TH]SBAL.ANCR OP nF-CHARI4iL4 AA II UUEI AND FAYABL2 jM TO RSVGV?W0l= <br /> 51 KWIC!'Tip.Smlat(-iilT)5 NcII'ml tJsumD IN THE SAMA COHAI-LION AS RECEVED WILLBE <br /> Vn <br /> ccmjtcrnnX >r'IRH W NTAFF AT THE Ii GMSE OF THE APPUCANM THIS ADOMOVAL <br /> SFxN,I(V,wli_L as ntLLED'TO THE APPIICAHT?,Olt FAYMENT <br /> n. CPJGINAI.FVOUC}7L.894=0It)S MLALL NOT BEEMoVI±.li TR4:114'LI-IB @iD PRPJ S93. <br /> sic)sATURA OF APPLICANT - � L' ^� �_ DATE <br /> SIGNATURE OF RELgASING OFFIJ.IAL DA7T3 <br /> m OO (4 (ALS► 17,77) <br /> f� <br />