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99-104 FrFli/E� <br /> APR 2 7 1999 <br /> NVIKkji-tIvIEN-M Ficr�tl' <br /> sAN Jon��uLN COUNTY PERMIT 1 SERVICES <br /> PUI3I,IC EIEALTII SERVICES <br /> ENVIRQNMRN'CAL, HEALTH DIVISION <br /> 1 / PUBLCC RECORDS RELGASS APPLICATIO//N <br /> PHONE NO <br /> APPLICAN'1'� V A _�_ �� <br /> ADDRESS_ _��u �PIIONL• N., <br /> Ai;.GNCY NATE cC'� <br /> ADDRESS <br /> k 4 4 k k # k k 4 + 4# kkk k <br /> k k k # # Y+ k# 4 k # kik # Y k k k k k k#+-# kkk 4 k # k k### # t ### k 4 k 4 # # * <br /> gaoG_IZnrl oa <br /> L. nDDRES mVSINL;SS N11 <br /> FULML1 TYE'E OF L"_LLE <br /> kk* #+ k k k k* <br /> THIS THE REQUIREMENTS IDENTIFIED IN <br /> HE <br /> U13LIC HEALTH <br /> SERV COES ENVIRONMENTALOHEALTH DIVISION EHDI POLICY /194-007,ORDINANCE CODE Or- <br /> SE <br /> F ' <br /> SAN OMEN- CODE AND -FOIFEE AND SERVICE E EVIDENCE CODE.CHARGE RESOLUTIONS. STATE WATER CODE. <br /> GOV <br /> 1 . A MAXIMUM OF TEN Lot PREMISE ADDRESSES PER REQUEST <br /> �. PUBLIC FILESIRECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> TD By CALLING 120 <br /> U FRIDAY EXCLUDING 3AOUDAYS, 8:00 AM TO20. OFFICE HOURS RI 2:00 NOON EAND NTS 1R00 TO 4D30 PM. <br /> ULED MONDAY <br /> 9. A PUBLIC FILESIRECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> PUBLIC FILESIR <br /> 4. ECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CEORRECED BY THE EHO STAFF AT THE EXPENSE OF TIRVIC TWILL BE BILLED TO THE APPLICANT FOR PAYMENT SEETHIS APLICNT. <br /> AE D POLICYDDI70100NAL <br /> 9. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> . . ... <br /> DATE <br /> SIGNATURE OF APPLICANT <br /> DATE <br /> SIGNATURE OF RELEASING OFFICIAL <br /> EH 00 14 IREV 91961 <br />