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11-•139-199:3 03:14nl mal i[1 15105211547 P.02 <br /> SAN JOAQUIN (;OUN"I'Y <br /> MPLIC HEALTH SMVICES ' <br /> E-NVJRO.NZVI.FNTAL HEALTH DIVISION <br /> PUBLIC RECORDS_RELEASE APMCATIO14 � <br /> APPLICANT_ ? "I lT /C PHONE NO O s` <br /> ADDRESS <br /> AGUNCY NAME PHONE NO - <br /> ADDRBSS <br /> Fuz ADD-=$ LU I) AG13NCY �g ' <br /> li Ll 41 t4 <br /> AYMP-biT <br /> NOVA <br /> SA <br /> �. r ULINTY i{ <br /> 3) 7 ZVI ENVIRONMENTAI 14 Ai Tu DIVISION <br /> - - <br /> t { A 7?Ii4�f4(y fClK 19 SU24RCT 7-0 'hir, R.EQUIRBMBNTS IDIOMPIM) 1N 7HR �UC HBALTH t <br /> SMVIC&.4/ENVMONMdNTALJlHAI.TII DIVISION(RHD)P UCY 02-Ml,0WXNANCE CODE OP SAN <br /> 4 t. JOAQUIN COUNTY. BilD FEES AND SERVICE (31A.RGE RBSOJAMONS. SLATE WATER CODs. t+ <br /> OVERNMFINT CODE AND THE BVJTA CE WDE <br /> 36,41 <br /> 1. A MA)GMUN OF TEN (I0) PRP-h4f ADL�RESSB.S PM R. QfJEST. <br /> 2. PUBL)C PiLE3/RE[,'ORDS REVIEW ARE BY AEEMffM= ON . APPOINTMENTS ARE <br /> ARRANGkio BY CALI1NG (209)466.040. OFFICE 1101 MS POR APPOINLMENTS ARE SCHEDULED <br /> MOND"nMU MVAY EXCLUDING IIOUDAYS, 8:40 A.M. TO 12:00 NOON AND 1:0D P.M. 10 4:34 <br /> P.M. { <br /> 3. A PUBHC RECORDS RELFASE APPIACA770N AND A NQU:9NMDABI9 DEP051T OP$78.00 <br /> IS REQUIRED. DT3IPOSTI'9 WI1_1, Bfi RETURNED TCD THE APPLICANT IF TH13 FMES/RRCORDS ARE N <br /> NOT AVAILARtE WITHIN TH8 CUST011Y QF TILE 01D. a. <br /> 4. THIS ABOVE IDENTImin t)vr si,r IS APPURb TOWARDS THS TOTAL I'ILE REVIEW FEB <br /> CHARGE. VIE BALANCE OF TH!8 CHARGES AR13 DUE AND PAYA13LIR EMQR TO REWMNO <br /> DOCUMRNT(S). <br /> 5. PUBLIC rLI.E9IRECORI)4 Nor i,tE' itmo W TI1H SAMs CONDMoN AS RECEVED WILL BE <br /> t_" •.1- M- MC M BY THH IBHD SI'APF AT THIS EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL B13 RILL W TO 771E,APPLICANT FOR PAYMENT. <br /> 6. OPJGINAL PUBLIC PIlI MECOPI)S SHALL NOT VE RIiMOVED PROM THS M413 PRENUMS. t <br /> SI(;NATM OF APPLICANT✓ _ �;• ' ✓ v. - bATE <br /> SIGNATURE OF RELEASING OFnC:IAL DATE ~ F <br /> EH OO 14 MEN 12192) + <br /> TOTAL P.02 <br /> 1411 9 '93 15=15 PnGE.002 �. <br />