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OS/fib/95 ,.1 :s7 ,i40'' 416 i 9708 $ARDINGLAWSON SF � 11003 <br /> SAN JOAQUIN COUNT' �� (- <br /> VNVMONMtNT <br /> pt,IBLIC PSCOM <br /> MALT# V �{ <br /> OItIiS IMLLASE "PlACAON <br /> APP ICaNT n ---r <br /> PHONE NO <br /> A1313P"S ONB NO <br /> A004CY NAME <br /> AMLMMS .p <br /> .r1 tet-t'�lilLvGb, c <br /> tm� dtlb12�355 i�t�Ab Ac31�NCY VATS <br /> 9 l.0 ,Crtitirklt� l.U� '� v rL-- <br /> ►'715''} <br /> rIj _ <br /> nns Ncrt•tct i3 SV$J ct to 'MIR "Qtgnm 3N'I'S tbirt�'I'IPIED IN THE Pula HEALTH <br /> JoAvic>3.s +UNTY,MW4 p$$S AND 513RVICt3 CI3ARGi RESOLtMONS'STAT$ WATER CODE, <br /> 1OAt�UtN COUNTY, <br /> GOVMtNMENT CODE AND THE $VIDENCE t-Obi3._ <br /> I, PUBLIC pILgS/R$coRDS RgV119W AJW Bit Atkg jtU Et ONLY. APPOINTMEN'T'S ARE <br /> ARRANGED BY cAIlING (2(! 468-0340. ot1FICE HOURS POR APPOIN'T'MENTS ARE SCHEDULED <br /> MONDAY THRV PRIDAY UXCtttDTNo HoUbAYS,$:00 A.M.TO 12:00 NOON AND 1:00 P.M.TO 4:30 <br /> P.M. NoN-k6PUNDABLB DEPOSIT OF$78.00 <br /> 2. A PUBLIC RucORDS Al"ASg APDL c-AllON AND A <br /> IS REQUIRED. DEPOSM•S WILL $E RMVRNgb To THE APPLICANT IF THE TAT M/R$coRDS ARE <br /> NOT AVAILABLE WITHIN THE CVSI'ObY Ol'THE$Kb. <br /> 3: <br /> ED TOWARDS THE TOTAL t�IL <br /> THE ABOV$ iDt*MPtI3b b$PoStT 15 A1711.13 "VIEW FEE <br /> CHARGE. THE BALANC$ Op THE CHARG13s An AND PAYA$M pBtQB To REVIEWING THE <br /> I'O g �• S NOT R'M?SN$U IN THE SAME CONDITION AS RECEIVED WILL BE <br /> 4. t�llc pIL�S/Rgcot�b <br /> CditR$em I3Y THB tftl) ATA" AT THE EXPENSE OP THE APPLICANT- 'IMS ADDI'TMONAL <br /> SMVICIT WILL PIi gtt tl to THE APPLICANT Valk PAWtNT. <br /> s. ORIGINAL PtI$Lic tot t3St"CORDS SHALL NOT$E REMOVED MOM TILE EHb PREMISES. <br /> SIGNATURE OP APPUC ' DATE <br /> SIGNATURE OF"Lt3ASIN(I OPFIcIAL DATE <br /> IH 00 14 (REV 10/92) <br />