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SAN JOAQUIN CC)UNTY <br /> PUBLIC HEALTH SFRVICEg <br /> EN'VIRONNW=AL UZALFLU DMS lora s^ 1 <br /> I <br /> PIJRiIiC 1tRC0R)S RRLEASE AIIU A <br /> C TION F'1 r� ; , • '".'!� �;, <br /> ArMICANT <br /> ADDRESS <br /> AC.01CY NAA lIi PHONE NO_44e==C <br /> ADDRESS - <br /> i <br /> IIl ' �►i�1�lih:iS LEAD AGENCY 12A <br /> /S'3 9z <br /> s/ - - <br /> o� <br /> 1193 NOTICE 1S SUIVECT TO Tilt; TII?Qt11RITMllN'f:9 IlMr11Plall 1N THE PVBLIC HEALM <br /> SERVICESMN11MON L HT%AT:TR T71VTR14)N(t!HL))I'l111('.Y!'97.007,ORDM NCE CODE OF SAN <br /> JOAQUR1 COUNTY. R AND SPR VI H (NARGE RESOLUTIONS,►TIONS, STATE WATER CODS, <br /> QOV)a Em THR TINIT71-•Nt't1 <br /> 1. t OP Ir.N (W) P ENUScE ADORM369 PER A.HQUE-RT. <br /> 2. REVIEW ARE BY APPQIh'TIdjNT OtlI_I'. APPOUnMSNTS ARE <br /> ARRAN BY CAII.TN(i n.MC'.B HOURS PCXR APPOINTMRNT'S ARF SCHEDULED <br /> MONDAY THRU FRITIAY T?Xf VJLANG 110LJDAYS, 8:00 A.M.TO 12:00 NOON A14D 1:0D P.M.TO 4:30 <br /> P.M. <br /> 3. A PIJL+UC W.70ADS FLELBASE APPLICATION AND A NQKAjW2aU UE1106r. OF$78.0n <br /> 1� R-PgUtKRD. DErn-SM WILL BE RB Z.1N240 TO TIM APPLUCAN�IF THE Ptt.P--,fR , )RIDS ARE <br /> NOT AVAILABLE WTIHIN THE CUSTODY OF THE BED. <br /> 4. 1111 ABOVE IDENTMED DEPOSIT IS AT''T'1 lr%D 'S)WAIII.I.S 'ME TOTAL FILE REVIEW FBR <br /> CHARGE, THE 3AUl1NCE OP T142 CHARGE'S ARI) 1)1 E AND PAYABLE,J¢$ TO REVIEWING M <br /> 1}OCUt•{8NT(S). <br /> S. PUBLIC PTtJ-MMFC0RDS N(JI'W11-IRNED 1N THE SAhM CONDITION AS RBCMVRD WILL BE <br /> CORRT=.cTFT) nY 'tesla 10Mi STAEp AT THE EXPENSE OF THE APPLICANT. 1"S ADT)MONAL <br /> SFRVICT W11_L 8B BILIPD TO THE APPLICANT FOR PAYMENT. 1 <br /> K. r3R GINAL PUBLIC FlIMI"CORDS SHALL`ICi lid RE1640VFJs fRgM '11113 eHD mgwws. <br /> SIONATURfi OF APPUCANT DATE 4,2L-26 <br /> SIGNATURE OF RELEASTNO OFPP.IAL DATE <br /> EK 00 14 (Rev t2+szj - <br /> 1 <br />