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L '� rye _ ...T _ I._ -6: I � � iJ.c <br /> ® 1►�1J� 7� 5732225 P,L� <br /> iI v SAN A UtN COUNTYPU�LIC HEA€.TH SERVICES <br /> o- ENVIRONMENTAL HEALTH DIVISION -447 <br /> JUL 0 6 2000 304 EAST WEBER <br /> A�CAs�a�D r -LOOrc <br /> STOCKENVlR TIME T HEALTH PUBLIC RECORDS gRELE SE APPLICATION <br /> AppU yVr "U31kF351AGONCY <br /> A0DFtE22 r ��w* &-t . 13i <br /> FHoiit; SI - -Luz I FACSIMILE <br /> TENTATIVE,APPO+r1TMCNT DATE � nFiE � �E A <br /> (Plank GNv 7 to 20 bullnose CaYS&M date of�pq,lcat;pn aubwtftau},.,/ K NDvJ <br /> �C tt=cx teas m Rx►8t1IrI�ae�ulEs�-;raga Wit=._ E QUIEST PI¢ sSED IN 7 SUSt"Eers 0AY3 �l CC S <br /> SIGNATURE OF aPPt_ICAN7 � �� �7�.: ( , � L <br /> dft— <br /> GATE a <br /> FILt:AbDRE$g M�x�i.r• <br /> G <br /> S uc�., <br /> 5 c)(0 c t y�.;Ltr i�LL T r <br /> ENVIRONMENTAL HEALTH DIVISION FIt.CS <br /> DEROROUND TANK WSri r■sAUUP 517Ettcp) c7 HOUSING AaATEME1NT Q 3MID WAVE FACILITY <br /> �CHERt,LEANUP Sire:(NON-LAP) O FOOD FACILIFT Q 30010 I►dA3TE YE11iCLE <br /> kt)EItGRpUlIDTA1dl(IlY1OiItTOR1Nt31NJGt+IOVAiy1 C UOQ . "r a DAIRY <br /> .r NAL4WUS WASTE[>;ENVtAroR n CHICKEN RANCH Q PKG TRZATKEXT PLANT <br /> a TIERED PER14111TTED FACILITY CI MOTEUHoTeL* TAFTQOMOOYA PCGlPA CPUMPER TRtCM ►AROCHEAD <br /> IL7 <br /> V90tCALWAS7 <br /> I!FACLjTY Q LAND U3E APMXA)ON SITE& <br /> PUI3UG WATER sYSTBM C3 OTHER p,LIASE$PEC1FY ABOVE) <br /> 11 t.iat up to tar;>addrss*es in tt'a sPa1c*Ab4ve.';Select the tygal(s)of files from the fist AboVe by Checking <br /> the sppfoprlate box(**). At least one file type MUST be Wected. Fax to Um 4k4-Q138,or mall try the <br /> addrrs1 Indica]g2k2v-3 <br /> 2. EHO will ngtlfy 016 applicant If any Flip files oxist. An appointment for review wail be confirn+ed <br /> *PPraximat*IY five bustn0as days but no later than ten (10)days after receipt of application. The files <br /> will be told for a maximuM Of five btitinass days for review. AppOintments should be scheduled <br /> accvrdtn�ry. . <br /> 3. A file that is actively being workid on by EHD Staff may not be immediately available for review. A now <br /> application may be submitted when the file is available_ <br /> 4• Any Tile not rstUmod in the same condition As r*I0a6ttl WIN be reorganised by EHO staff at the axpenso <br /> oT tela APRIiCant. Future file roviiws bN the Sterna 1Ipplk8nt may r"uire a$78.00 doposit prior toy rayiew. <br /> 5. *TENTATIVE appointment dates inuSt be confirmed with EH0 staff. <br /> 8. Applications received after 3:00 prn will be processed the next busine3s day. <br /> ICONFIRMED APPOINTMENT DATE TIME <br /> I DA,E CONFIRMED PI10HE FAX INfTiAt.S •�.. <br /> �ViEINED Y�3 NO RI;V31=W DATE <br /> TOTAL P.02 <br />