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10/15/19y9 16:12 2094671116 AGE �7i�CTUI� F�:GE 61j�1 <br /> W11- <br /> 0139 <br /> SAN JOAQU COUNTY <br /> pjjBxjC EMALTIR SERVICIES <br /> - o fi -rAr. ,��.TR DYVI�SION <br /> LIC RECORDS REx.EASE APPLICATION <br /> x <br /> Ex � MOM hO D <br /> � ACNE No <br /> AGCY NATM <br /> B D <br /> J. AGENT AAT�i <br /> Aft <br /> ]Y.7S NOTICE IS SUBJECT TO THE REQl:-RE`iENTS IDENTIM13 ]N THE PUBLIC HEALTH <br /> S V10E5M£ VFROXNJENTAL}EALTH pltiD=]ON {ENI})POL}CY r 92-DQ7,ORDIN ANCE CGDE OF SAN, <br /> 30/,QU N COUISTY, F-IM FEES AND SER%ICE CHARGE RESOLUTJONS, STAT; WATER CODE, <br /> GOV)�:RNMRNT CODE AND 7r3i B'VIDENC£ CODE. <br /> 1. A }.1fk7 W.Ni OF TE.V (10) pRE],S]SE ADDRESSES PER REQL:FST. <br /> Pt3SL1C F1LFS/R>:CO.tiDS REv]£�'/ -,-RE <br /> BY &Epo I% �7F Off' ,�ppol *I+,4>µNTS ARE <br /> 2.A?JkANGED BY CXLUNG (-O-'J4-69-0340- OFFICE HOURS Foot APPOINTMENTS A?,E 5[}IEDULF D <br /> !�SONI7AY T}iRU FRIDAY CLi bF;4`G HOWDAYS, 8:00 A.M.TO 12:00?BOO;I AND ]:oo?.NJ. TO 4:30 <br /> p.hi. <br /> A FUEIJRECORDS $gSRCAT)ON AND A NOE. ' <br /> ISR£QUIRkn- DITSLL �UNED TO THE .kPFIICANT]FTHE FILERECOR-DS ARE <br /> NOT AYA]LAELE mT}i]TI 71-S CUSTODY OF THE FH]D. <br /> 4. <br /> ']1-]E AIAOVE IDEIMFIED DEPOSIT IS APPLIED E 3j LANCE OF TH CHARGES AliE DUE AND r PAYABLE TOTAL <br /> R10 <br /> C0 REQ n']NG THE <br /> CHARGE. THE <br /> DOCUM Etr"F(5). <br /> S. PUBLIC FILES/RECO�S NOT RET(,TRI>ED IN THE SAWS CO;�`ID]T10N A5 R]=CEIV1<17"LL BE <br /> CORRECTED BY T}IE EHD STAFF AT THE EXPENSE OF THFAPPLICANT. TH]5 ADD1T10NAL <br /> My]CE,%qLL BB BILLED TO T}3H APPLICAIMT FOR PA)rh ENT. <br /> 6. ORIGINAL PUBLIC F]IESRECORDS SrHALT-NOT BE REMOVED FROM THE F34D PREMISES. <br /> SIGNATURE OP APPLICANT <br /> SIGNATURE OF R FLEAS)NG OFM CJAL DATE <br /> EH 00 ]4 (REV 12/92) <br /> H <br />