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aF 00/061 <br /> u <br /> � ZuLlo <br /> � SAN,�LI.f'��V�.[� COUNTY <br /> PLTBL'Ic ImALTH SERVICES ENVIRONMENTAL hEALTH <br /> lvulRoNrvtEn; raf_ -HEALTH <br /> ENVIRONNIF,NTAL HEALTH DIVISION PERMIT/SERVICES <br /> FUBLIC RECORDS RELEASE APCATION <br /> APPUCAN,E' PHONE NO s <br /> ADDRESS 3 <br /> AGENCY NAMB�rarti d _� PH NB NO_ <br /> ADDRESS <br /> FE,E ADDRESS LZ&12 AUBUCYDA <br /> o -rte u =`t5s 'Pc w j-p 4 c- <br /> 3 / 70 <br /> ./ 7o w <br /> / 3 s £s <br /> 3°/v <br /> THIS NOTTm 1S SUWECT TO TI3E 5 IDEN'T PMD IN THE PUBLIC YIRALTH <br /> SERVLCES/ENVIRONMFNTAL HEALTH DEVISION(11M)POI..TCY#92-007.ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, FHD FETSS AND SERVICE CHARGE RPiSOLUnONS, S'T'ATE WATER CODE, <br /> GOVEWMI 'T CODE AND nM EVIDENCE CODE. <br /> Y. A MAXIMUM OP TeN (10)PREMISE ADDRESSES PER REQUE$Z <br /> 2• PUBLIC FIT ES/RORDS IU"iYIHW ARB nyI LY. APPOTNTMSNTB ARE <br /> ARRANOBD BY CALLING (2()9)468-0340. OpFICE HOURS pOR AppoWMiENTS ARE SGFIED.ULED <br /> MOND"'IIIRU FRIDAY)EXCLUDING HOLIDAYS,9:00 A.M. TO 12:00 NOON AND 1:00 P.M.TO 430 <br /> P.M. <br /> 3. A PUBUC RECORDS RELEAS.H A.PFUC;ATION ANIS A O - DEPOSIT OF$76.00 <br /> IS RHQUUUD. DEPOSD'S WIU BE RETURNED TO TH& API?LICAN3'IF THE FILES/RECORDS ARE <br /> NOT"AILABL,WTMN THE CUSTODY Op THp EHD. <br /> 4. THE ABOVE FDENTIFIM DEPOSIT IS APPLIED TOWARDS THE TOTAL,FILP REVIEW FEB <br /> 04ARGE. THE BALANCE OF THE CRARGES ARE DUE AND PAYABLE IV TO RTsVIEwmG THE <br /> DOCUMENT(S), <br /> S. PUBLIC FlLE3S/RECOItDS NOT RETURNED IN THE SAME CONDITION AS RECErYBD WILT.BE <br /> CORRECTED BY THE BID STAFF AT THE BX?EKSE OF THE APPLICANT. Ms AliDMONAL <br /> SERVIC& WILL 8E BIND TO TETE AppUCANT ;OR PAYMfiNT. <br /> b. C)PJG'NAL PLBUC nIESIRECORDS SHALL NOT BE REMOVED PROM THE ERD pREWSE5. <br /> SIGNATURE OF APPLICANT <br /> t <br /> 3fGNATIIRE OF RFL.EASING OFFIaAL DATE <br /> EH 00 14 (REV (2192) <br /> r_'f <br /> 16/T0 3 � N Z7�lil ZZZZ0993T6 90:60 000z/G0/E0 <br />