Laserfiche WebLink
From:MARCUS H. HOLE AND fl� "PIATES 530+633+0119 04"'IJ2007 16:40 #404 F.001 <br /> } T ENVIRONMENTAL HEAL _ PACS....01........ .. .. .......7 <br /> SAN <br /> QUIN COUNTY <br /> - ?G C 7 ENvMOI M NTAL�ALTH DE�'ARTMENT <br /> r; 304 east Weber Aveauc,3sd k1.00f,Stockton,CA,95202-2708 D <br /> r `i;'• E_, 4xelephottc:('L09)469-3 420 Faun:(209)464-0138 Web:wwwsjSoveh <br /> �,+?�+�/J.uJO RELEASE LEASE APPLICATION <br /> APPUC.ANT: <br /> ADDRESS HUSMEMAOF oy; <br /> PHONE t1 PHON9 M: FACSIaAILE: <br /> TENTATNE'APPOrtYTMENT DATE ff <br /> ftne anew 40 t twl mnx dalm"m d&of appawoon otrEmkUi.•rmat�ne oeEy-mus! eanf;,maal <br /> \ CHEd(Bax TO ExPEDftE REQUEST-03A1�(CASH OR CHECK OKY)-RE•MESTPPOCESSMIN s BUMMS WAYS <br /> - SIGNATURE OF APPUGANT <br /> DATE r� „ <br /> UNIT brSTRr anoN p Ue!!1 ❑Vf*x . "7 a Lh%t'4 'r]Una 5 d UFA I t7 Otho(ekClf OfllCRistshtlapz) <br /> PILE ADDRESS <br /> SuTd s SUVA NAM EHD USE ONLY <br /> 1. O azo` <br /> 2. Al <br /> S. 10 <br /> a <br /> LvDatsofinfolmmailon <br /> : <br /> •'Sped "ues6ed:From_/SOD <br /> EIMRONMEN-NAL HEALTH DEPARTMENT F"it. 6 <br /> 01 OTANK(UST)CLEAMPJ'f "P) C7 Honm AVAIVAEfr O atOMWAM FAat mfYe>2= <br /> t .4tua SrTE(NOM�OP) 13 FOOD FAeamr 13 WAM Tins <br /> URDMOROM TAM(tMorOTORROMMMAO 0 Doc KEIGM p DAM <br /> n KMAMi 3WAST OMPATUR . d C40M RAM*{ Ci WASTkM TMTREAtM1TPLANT <br /> V TtEAED PsR;aprTm FACRn r O _ d PUMPMTRu0dVARXfCSERT0Un <br /> �Tad6TJP�.�U TE FAQ f� 'p On=MEME 4 a�u�at?:+e Ar Ttou Sao <br /> Wt LLARO RWM PFmrt AEC=S ARE AVA1LAME FOR i1FvtLt- Kt=MVF1I0At 1900 M&04rti ->=7=11 M HamATS:_ <br /> 1. I.Ist up to,ten addresses In the space above. Select the types)ot ales from the ltst abovi by aheclang the 3 <br /> appropriate boates). At least one file type MUST be selected. J_ax to(2091464-0488 or nrailto the adCltess <br /> Indicated above. Address ranges will not be accepted-for additional asststanee with file addresses?Contact <br /> the END.Applications received after 1.00 pm*fill be processed the next buslness day. <br /> 2. The END will AWfy the appGcatnt If any END Moo exist. An appointment for review V40 be Confirmed <br /> approximately ten(10)days etftor receipt of application. The tiles wHl be held for a ma)dmtffn of five business <br /> days for review. Appointriients should be scheduled accordingly. <br /> 3. A file that Is actively being Worked on by END staff may not be immediately atvatlable for review. A new <br /> applica Wn may be submitted When the file is available. <br /> d. Any file stat returned In the same condition as released will be reorganized by END staff at the expense of the <br /> applicant. Future file reviews by the same applicant may require at$93.00 deposit.prior to review. . <br /> t L1 <br /> V_ <br /> ENe u-41ms ' <br />