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07/13/2006 06:25 19252843P'5 JOHNSON WRIGHT IN^ PAGE 02/02 <br /> 07/07/2006 15'37 4640138 ENVIRONMENTAL HEAL? PAM E1 <br /> 301rS" SAN JOAQUIN COUNTY <br /> � � e <br /> E+N8'M O1A TMINTAL REALTT DEQARTNEENT <br /> 30� ;t Web-,r Avenue, 3`d Floor,Stockton:CA 95202-2708 <br /> ;1P 0 <br /> Telephone: (209) 468-3420 Fix: (209)464-0138 Wob:wWw.sjgov.org/chd <br /> ia(Rv6 WT HEALTH <br /> PERMIT/SERVICE9 PUBLIC ItEC+O-- - EELEASE APPLICATION <br /> ,WPLICANT:._–u-1-21, , <br /> 3�K3FA(-,,c;1MILE- <br /> -Tim(, <br /> 1i 1 <br /> PH0N1E(2): �ta5 �{b3- 1ao�5 <br /> _ <br /> TEINTVIVV AFP01NTik1Vrr DATE: <br /> iTim(, 1 O (� , <br /> (Plc tR alfovr 1Q bttsitiase tley3 front date of Ippiioation 3ubmltmi--)eltb�f ytt Griiy,mu-t b�aeftfirtn <br /> cHECK BOX TO EXPEOUE P.E.QUEST-$93.40 FEE(CASH OR CHECK ONLY)-RE4Uin$T PRS <br /> D ATIn D IN 3 i?iJ�3, <br /> SIG NATU iii*OF A17PLIQANT � �-_ .•.. <br /> �"� — Q Unit 3 L7 Otitef a eotrenla'I'sst slrnaps} <br /> TU—NITISr�1BUTi0N O Unit 1 �tl�it� � Unit d t7 Ulvlt� ❑ Unit B <br /> FILE ADDRESS C <br /> street# — StrEtName tyw <br /> 2. <br /> Pa <br /> T. <br /> to Laa <br /> Speelfic Data R:ang3 of Information P.eclu.tad:From <br /> ENVIRONMENTAL HUALTH DEPARTiMENT�1 ES W�FAGFL IaE <br /> o FooDF*ciA.ASTtJ1SNT �WA$TzTl� <br /> �UNDCRGRDUND TAV`.ti(UST)CLEANUP Srrr(GOP) O FOOD F11G1{.iN Ci Da1RY ., <br /> �OTHIRR GL>$ANGP S tT c(HiG►�.LO } []00G.KENNEL 0 WASTEWATER TREC. <br /> xL1l�fyp�Cl`^UND :U, <br /> TANI.(140firTORiN(;iCiGMJVAI) 17GM�NFtANcti QPUrd'ERTKUCKryj>�&OMEMTRu_' <br /> Npz aaDou&V1I <br /> 6S1 F CI:14Z RATOF D p1IpTrJ 1F[OTEL <br /> TIeREt}PERMITIEC F ACILITY p QpOLlSPA Q LAND USE R PPLJ^.ATtON$tr_s <br /> TAT IZ?OIBODY PIE2�IyG ,pl 07"sR(PLtASE SFEGiFT)�`1 YT <br /> aim~A t 1i rL'�( <br /> Q 1V1iiClt=A1.WA51E FA�ILiTY 7C c.7 aa141Q 17oLIDA73. N 1 <br /> W>_L1,N,5 Svpnc pEFjAlt prjtcdtD9 krs AVA11 X u FOR R� 'tya9°gY of files tae ist abo by checking the <br /> 1. Ll$t 1�p to.tan addreSSO$In the•Cpace aboVe�. _$eloct.the P ( ) <br /> ntact <br /> lrtppn)pria•te bt�x(es). �t le;�st one file t�rpe MUST <br /> be selected- <br /> add bona-ssistance w th#le dd�Qs:rc <br /> to abt+ve. AddresE ranges will not be P <br /> lCL1S __._ --- <br /> the nt 111,11"98 day' <br /> t.ht EHp.,�Applicatlons received a ttr 3:00 pts will be procs9sedoit tni9nt forerev rit <br /> ew tv 11 be confired <br /> 2, -p L.EHD will notify the applicant if any EHU files )dst. An app <br /> a vroxlmately►tan (i o) days after receipt of application. The files will be held for a israJCIFT111rri of five business <br /> clays for review. Appointments should be scheduled dccordingly. <br /> a, d ytile, or r v gic£Svaly ttelntl wc�rt<ed on�►y r_HD staff may not be It1 me4ll�t�ly a1{3il�ble dor sevi�w. A nevi <br /> application rrj,)y be submitted when the file is available. <br /> A. AnY fife rot retuned in the taMe conc3itlorl es rcant released will be reOrg <br /> e$9 .OU deposit pt9ot otreview. <br /> cnre of the <br /> applicant, I Dture file reviews,by the same applicant Y q _ <br /> JUL06 <br /> �� -- --- U, L 1 3_ <br /> ENVIRONMENT HEALTH <br /> 1»avE <br /> PERMIT/SERVICES <br />