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SAN JOAQUIN COvNTY <br /> PVBLIC HEALTH SERVICES <br /> ENVIRONMENTAL EM"TH DIVISION �3 I'l a�93 <br /> PUBLIC RWOnS REUMS APPLICAUON <br /> AMCANC �4 Gnvc FIiC7NB NO <br /> ADDRgM o ► S <br /> A(3ffi+tCY NAME 1 ff, OTTT3 s --a O. <br /> ADbRMS 20 4 S C o <br /> q3 P <br /> : p�Laa avDltasls �� �i�CY <br /> Qu,'ck ���'355 '" G�• M rHor l w�e �+t5. - f'rn,�!2a el �v/�hs. �lrl�a r9,3 <br /> PAYMENT <br /> RECEMED <br /> MAR 1992 <br /> SAN JOAQIJIN COUNTY <br /> CES <br /> TMS NOTICE IS SVBI cr ToTRg RSQUM ME0M MgWnp= IN TW NTH DlVlSION <br /> MVICEW N MONM13N'CAL HEALTH DIVISION(MM POLICY MAW,ORDINANCE OM OF SAN <br /> JOAQUIN COUNTY, Oil) PMS AND SERVICE CHUGE PMOWTIONS, gTATE WATER CODE, <br /> OOVI3itNMBNT CODE AND WE BVIDENC9 coblL <br /> 1. A MAXIMUM OF TSN(10)PREMISE ADDR030 PER RBQU W. <br /> 2 PUIOUC FREVAUCORM RBVIRW ARE BY ARE <br /> { AIIRANGED BY CALUNd ('!09)468.0340, OMCB HOURS FOR APPOINTN IRM ARE SaMMULED <br /> moNDAY Imu p=AY BKCLUMING HOLIDAYS,6:00 A.M.To 12:00 NOON AND 1:00 P.M.TD 4!m <br /> P.M. <br /> b 3. A PUBUC RECORDS RELEAW OPUCA710M ANDA MOM= DS Kwr OF$78.00,,- <br /> IS RaQt=W. DBPOWIS XVIII.BS RETURNED TO In APPUCAN�X'THE PIL &ILECORUS ARE � <br /> NOT AVAIL ABLE wnwx THE CUSTODY OP THE IIID. <br /> 4. THE ABOVE IDI3MIIPW DEPORT IS Ap'P'JIBD TOWAPM THE TOTAL FILE REVIEW PBB � <br /> CNAROB. THE BALANCE OF in cHAROES An DUE AND PAYAKE a=TO REVLBWINCI M <br /> S. P=(!fii88&WOM 140T R@IURNBD IN THB SAME CONDITION A3 REC13l W WUL BE <br /> CORRi;c.= BY TIS MID "An AT THE W"92 OP 'THS OWCANT. =5 ADD1 0NAL <br /> EERY=WILL B8 ZlJ TO TH9 0MCANT POR PAYMgN'1'. r <br /> 6. ORIGWAL YUBUC P)i,EMIRBCOM$HAUL NCYr BE RGHOVSD FROM THB MW Pia IMUSM. <br /> 8W4t'nJRB OP APFUCANT v DATE 03 <br /> SIGNATURE OP RULBASINO OTTICIAL DATE <br /> BH 00 M(EBV 17,192) ' <br /> I •a 11 waaA <br />