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Cc 10I <br /> �`r PAYMENT <br /> RECEIVED <br /> SAN JOAQUI N COUNTY APR 2 6"1993 <br /> rMUC R&4I11H SERVICES SAN JOAQUIN COUNTY <br /> ENVIRONM MAL nEALTH DIVISION PUBLIC HEALTH SERVICES <br /> PUBLIC RECORDS XMZASE APPLICATIOIgNVIRONMENTAL HEALTH DIVISION i <br /> ) <br /> APMICANT S hn CO PITONS NO a o 9 - s <br /> ADDRWS14 -sTHATCIF-STol215351 <br /> A01INCY NAME R LJ f� V I ti . I .S PHONE NO �l 6 S - :5LI <br /> ADDRESS Vo , O �STO_L IJ y La , �l S a n I <br /> F1I.fl ADllRB55 EE AGMCY <br /> L{�NGS PON s Y�IAK�« T <br /> Sail X60 Q'i I h1 0,0 • r»,gxe g m/ <br /> 1 5 61 5 5t VfiTJTH S1 S , E , N. Imo. <br /> L-G T-ii Rg P On . <br /> } <br /> i <br /> - r <br /> TIIIS NUHCB IS SURWr TO THE REQUIItEMENTS LDENTIUM IN TIM PUBLIC HEALTH <br /> SERVICMEN VIRONIAPNTAL HEALTH DIVISION(EHD)PGL"CY#92-Wl,ORDINANCE CODE OF SAN <br /> IOAQUIN CO[?NT'Y, MW FESS AND SMVICE CIlARcE RBSOLU•IIONS, STATE WATER CODE, <br /> GOVERNMINT CODE AND THE EVIDENCE CODE <br /> L A MAXIMUM OF TEN(10)PREMISE ADDRESSES PER REQUEST. 1 <br /> 2. PUBLIC FnXsVRECORDS REVIEW ARE BY APPORONE T ONLY. APPOII`ITMIINTS ARE <br /> ARRANGED BY CALIIM (209)461-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCIIEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS,5:00 A.M.TO 12:00 NOON AND 1:04 P.M.TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS REL v ASB APPLICATION AND A NON-ARRWV_A=DEPOSIT'OF$78.00 <br /> 1S RE J RED. DEFOSM WttL BE RETURNED TO THE APPLICANT IF THE FHEVRECORDS ARE <br /> NOT AVAILABLE wrhm THE CUSTODY OF THE Em. <br /> 4. T'rM ABOVE IDWIlFIED DEPOM IS APPLIED TOWARDS THE TOTAL. ME REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CRARR03PS ARE DUE AND PAYABLE P Q TO REVIEWING THE <br /> DOCUMENT(S). <br /> S. M)BLIC PUY-VRECORD3 NOT REfURNID IN THE BAMS CONDMCN AS RBCMVED WILL BE <br /> CORRB(-wITD BY THE MW STAPP AT TIM E PE 0 OF THE APFUC.4NT. THIS ADDITIONAL <br /> SERVICE MIL BE BILLED TO IM APPLICANT POR PAYMENT. <br /> 6. ORIGINAL PUBLIC FII.I nCORDS SHALL NOT BB REMOM FROM THE IBRD PREMES. <br /> \ SIONATURE OF APPLICANT V• f. DATE ' I 7d <br /> SIGNATURE OF RELBASTNG OFFICIAL _DATE <br /> Bill OO 14 (REV 12192) <br /> z0'd £6SL1tr2ST 01 WO?Jd Wdm:£0 £66T-2E-60 <br />