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OCT-21-199 0'36 FF GEOLCG3 1 CAL TECW I CS TO <br /> 4630138 P-02 <br /> Ell Ct0 14 (RZ,V X1941 SAN JOAQUIN COUN'T'Y <br /> PUBIAC UEAEXII SEIMCES <br /> PUBLIC RECGIWS ItELr,,ASE AF-PLICATION <br /> pPPI arcApt '-- t✓�Cer t I b �a FlioNiP, NO--J 3g - <br /> AIDDRIa.SS �'7 ( I�i✓e f !Z <br /> /1.094CY RAME "UevEoa ea l (�ck_r�cs _ 1n k'kIQN$ NQ 539 - 1. <br /> ADDRESS <br /> IIL,I annRR � L_IVI - D <br /> AM <br /> bi:1 11 e. <br /> THIS NOMC E I9 SUWEC'£ TO "DIE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERvIcesm"RONM AL HB 1,111 DIVWON(Mo)VOUCY M -Ott,ORDINANCE CODE Of SAN <br /> 1OAQUIN COUNTY, OW FEES AND SERVICE CHARGE RESOLUMOM STATE WATER CODE, <br /> iQOVMtNMEbrr CODE ANO THE EVIDENCE CODS. <br /> 1. A MAximum op Tw(I4)Puma Au 83 MR X$gtiW, <br /> 2; Pveuc FT ECORDS REVIEW Is 13Y A1201 M&IVT ONLY. APPOIrrcMtrar'33 Mir$ARRANved Ity <br /> CAWNG (2 -0340. OVA. jj I10URS POR APIKIIK MENTS Ak$ SCIIEDUL£D M014DAT THRV FRIDAY <br /> EXCLUDING HOLIDAYS, 3.00 AM Ta 12.00 NQKW AND 1:00 pm_b 4:30 PRI. <br /> 3. A Pvauc Rr<oRvs RmLnM s APPUCAT10N (PMA) Is R£QUIRFA. <br /> 4. I'UBLIc IRL,FS/RECOADS NOT R=UINED IN TIM.SAMV ComVITION AS ISCEIV11D WILL Be(MRAECM <br /> IIT THE r-HD S'TAFP AT THE Fes$ 'F TNM APPLICANT_ THIS ABI)MDNAL sfampa wim 138 BILLED To Tilt <br /> APPLICANT FOR PAYMOtr- (SER M) POLICY "—W7) <br /> S, ORIUVAL PUBLIC FILMECORDS SHALL NOT 98 REMQYfiD PROM TTI$ EHD PAF3IUI682L . <br /> SIGNATURE OF APPLICANT ax'"' DATE °yG-•L-�- <br /> SidNATURE OF RELEAMNU OFFICIAL DATE <br /> NQ pHS/E--HV R IFttr3 ARK IDeNtV-9W. <br /> flae+r Rv'nt *..+gawt <br /> PHSIP-RD RSCURUsiftm EXIST OK T1fit AVDIMMES) PRfJTM- YIW WILL U"On"IM WISE V <br /> RECjD (Lt3 AIS AVANfLULH KM ARVIRWI <br /> MTV.. its-wpm sus <br /> TOTAL P_02 <br />