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I U 1�1VK et*J110b .1F�M 4'K.� <br /> SSW JOAQUTAT COUNTY <br /> FURUC BMA,LTS SERVICES <br /> ENVIRONMENTAL HEALTH D"ION <br /> PURUC RECORDS RELEASE APPLICATION <br /> ,AAFPIICANI' <br /> ADDRESS S: o f P� 16 r� <br /> AGLINC:Y NANM <br /> f v S v �r FFI©NB NO <br /> ADDRESS sq`vcP <br /> ®r, <br /> c &15j ; S. S �„ .3S 7 <br /> FLia-_ 3 S,02 1 S S <br /> /tic L4_ekses 1W/AA <br /> a rpyG ? S. S n_ s� (v ✓y_, — - <br /> �COl 20S IV. �'Prrr�tp'1 S1 �8re <br /> -�� aat=—ai rr 1vr�a e�xae.-��i n <br /> ITUS NOTICE IS SUH ECr TO 1119 RF_QUULMgMM E FIMFIW IN TUB PUBUC HEALTH <br /> SEELYICMENVM(P_ MHNTALBEAL'IH IAVI.4ION(MIS POLICY 092-007.ORDINANCE CODE OF SAN <br /> JOAQEIIN COVNI'Y, TMD FW9 AND SERVICE CHARLIE RESOLCITXONS. M%TB WATER CODE. <br /> 00VERNMBi+TT CODE AND-nM EVIDENCE CODS. <br /> 1. A MA)£IMUM OF TEN (i(1}PREMISE ADDRIME9 I'BR REQUL7r. <br /> Z. YVBLIC nLESgkECORDS REVIEW. ARS. BY &MIIa-Ml ONLY. APPOINT),IENTS ARL <br /> ARRANGI?I) BY CALLING gV9}4 &CM. OFFICB FLOURS FOR APPOL`rnMGEt S ARM SCHEDULED <br /> MONDAY THRU FPJDAY MCLUDING HOLIDAYS. 8:00 A.M. TO 12:00 MOON'AND 1:00 PAL TO 4:30 <br /> PIiL <br /> 3. A PUBLIC RECORDS RELEASE APPIICAMON AND A MPLAEMMMBU DEPOSIT OF$18-00 <br /> 13 REQUIRED. DEPOSM WILL B& KH'I-UKN 3I7 Tv InE APKICANT IF THE PIII*3lRSCORIl3 ARE <br /> NOT AVAIIABLB WITITIN THE CUSTODY OF THE SM. <br /> n <br /> 4. THE ABOVE LDEl` UH1D DEPOSIT IS AFFUED TOWARDS THE TOTAL FILE RRVIEw FL-H <br /> MARGE- 'IRE BALANCE OF IRS CIiAItom ARB DUE AND PAYABLE TO REVIEWING TjIE <br /> DOC:UMEM(S)- <br /> 5- PURUC FIL.MRECOPJA NOT k9nJRNBD IN TNM SAM13 CONDITION AS ncEIvm WILL FH <br /> CV'RL'_ H BY THE IiIID STAFF AT THE W0g9'9B OF 'IHR AFIUCAMr. 'IM ADDMON AL <br /> BIIRVICf3 WMt_BE HTI-r sm TO TIM APPLICANT FoR PAYMENT: <br /> b. CP.IGINAL PUBLIC FII.h'VRECOADS SHALL NOT IM REMOVED PROM THE ERD PR NUSES. <br /> 51GNATURB OF APPLICANT / DATfi �qz <br /> (o <br /> M <br /> 5I*3N7��1 UR1?OF RELRA..,t' N,OFFICIAL DATE <br /> I'll Ora 14(REV 12142) <br /> TOTF,L F.0 <br /> r''�� \Al <br />