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SAN J=%COUNTY '' <br /> PUBLIC SERVICES <br /> "WM0NMMNTAL HEALTH DiVMON <br /> PCTBUC RECORDS AgE APPLICATIONAPPU <br /> CAM s �c FF SSE PHONE NO -7 0,&,45—4 53 • �/_1� <br /> ADDRESS <br /> AGCY NATVi� QZe► <br /> ADDPM PHONB NO <br /> OLE"PRL3,55 LEAD A <br /> DATE <br /> 2(0-gf <br /> 7 l & tdr I st, Cd�„8ry S c <br /> ��.�� �ChC�rTt4.lS�'� {u�/rph _ ,ryy rr •+.4 <br /> [.f tern - <br /> THiS NOTICE IS St1mcT TO THE RBQ"ZEiMMs lUVNTUWD IN TIM PUBLIC HEALTH <br /> SEK7IC'F,9 '�ONMENTAL IMAL.TH DIVIStQN(SIM)POLICY --007.ORDIKANCE DODri OF SAN ' <br /> JOAQUiN COUNTY, FSiD PSS AND SERVICE CRARG13 TtSoL.tJ'I oms. STATE WATER CODE, <br /> GOVERNMENT CODE AND #AE RV]DnNCE CODE, <br /> [. PUUUC! Fff,&%4WC0PM3 REVMW ,ARB HY OULY, APFOlNMUFE M ARE <br /> ARRANGED BY CAIIING 909)46E-U340. ofmc Fa IIQULtS,FOR APIORnNnEl' IS ARE SCIMULF-7 <br /> MONDAY 1InW FMAY EXCLUn NO HOLIDAYS.8:00 A_M�M i�l.H]U MON AND 1:00 P.M. TO 4:30, <br /> - A PVWC RECORDS RM 13ASB APPLICATION AND A roN-RUM DAM-4 DBIOSIT OF$73.00 <br /> IS REQUTA M. DEPOSM WML BE RETURNED TO TIM APPLICANT IF TIM F RECORDS ARE <br /> NOT AVAIL ABLE WXIHIN MIR CUSMDY OP THE EFiD_ n <br /> 3: TIM ABOVE IDS DHPO3IT T5 APPLM TOWAIWS TIME `DOTAL FRE REViaW FEB <br /> CHARGE. TIM BALANCE OF TRB allRftS ARE DUH AND PAYAW-E ESI OR TD REVIEWING TH:B <br /> 4. PUBLIC MZVRfiCC"S NU TREfURNED IN THS SA1ft COMMON AS RSCS VED WIIL BE <br /> CORRECTED BY TIM EIM STAIrF AT THE EX EM.9 OF TIM APPLICANT'_ TWS ADDTIIONAL <br /> SERVIM WELL BE BTLLM TO'THE APMCANT FOR PAYMENT. � <br /> {3M'NAL,PUBLIC FaE&RECORJDS SO LL NOT BE REMOVED FROM THE EHD PRENUSES. <br /> 4 - <br /> SiGNATURU OF APPLICANT DATE - <br /> TGNATURE QF RV-RASlNa oFmctAL DATE = <br /> E R 00 14(REV-14192} - <br /> SEP. 96 � <br />