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-L,.:go VAA 770 642 0257 RNT INC. ATLANTA <br /> -. (A002/002 <br /> 06/24/2005 07:50 464013%.) <br /> ENVIRONMENTAL i TH PAGE 01 <br /> D ��� Q SAN JOAQUW COVNrY <br /> N"Y3 0NMNarAL R9,4.'H D.EpARTNZ" <br /> AN ss"d 2 no T.005 'Tel Ahane�'.(tz09}4G8 341A FOX(209)'Veber Avenue,3d 464toakto �C,�,95202-270$ • <br /> wwwsign.org/cbd <br /> ENVIR()I kB NT HEALTH PUBLIC PYWORDS RELEASE"PLICATION <br /> "PucAFrr: S Or SUSINESSIAQWC r:-R MT1 I Vi <br /> A� GA 3035o <br /> (�itorla(1Y '-S 5G ! 9 Pitf�VS RiCsWItLE: -116.- 4 -0 5 <br /> ©� _ <br /> EL �• TENTAT'1W'E'appoNrMMr DATE: 71121DS vmc'. 9=Oo_ARA <br /> hese allax 10.io�sl+ = <br /> a&P rrom aaee of mon x�mrws'.�ra�a6m or,ry►-mum be omffrmeQ <br /> �4 0cmcK HOaC 77d fr7fPEQ1 rt:RECrU 423M FEE HO <br /> P-CHECK ONLY)—RWUMT PROCSSSEDIN 3 HUSMS DAYS <br /> SIGNATURE or APPLICANT �-- DATE <br /> 120 I D 5 _ <br /> itNlT tJ1STRl8tl1 rON G unit 1 E3"2 3 Iffnk 4 C11NE E 13 Unit C p Cow t��NohFstrfinapa)� <br /> 1F Streets S1r+ret�6Wune S cnr EHD USE QNLY <br /> • esfi o <br /> 2, f <br /> 4. <br /> 7. <br /> • 8pectCe f7afe Rac►ge ofilrformakon Raguestgd:From 19'I 8 . 6a OD5 ' ' . <br /> ENVIRONMENTAL-HEALTH DEPARTMENT FILES � <br /> U ofAm 7'APiiC(USTr 4.�uam ([A['1 G NoueM AAAM Wr C1 SQW WAM FNcanm� OME <br /> OT1 R C $rTe(No�1-LOP) Q Food F#MM 0 WA9I7 TPE <br /> U ?LW*TANK(al�ovAL.) O Dom r� P D� s <br /> ja HAZARDOUS WASTE GUMAU r . 0 ggct�RAras , b WMT9WATERTROATMENT PUA[T <br /> C T PeriMMM FAMW d 1<bm Rta O PLRbVR T ARb(OHE0>Lis <br /> d TAxroolHopY PSM410 ©A01k1SPA -G LAND UN APPMAWN SM <br /> VftLAMSSnMPeiaaTRE C=AW.AVARANEPORRWaMN- MOWY-FFMAYS.-ft ;QOP1r - E9ad.Udat+ MUDArs. <br /> 1. List up to ten addresses in the ipaie above. Select the types)of files from the list above by'che dag the <br /> appropriate box($s). At least one file type MUST be seleded• Fix 10[269)Ls4-07Hor mall tc the address <br /> Indicated mt e_ Address ranges will not be accepted-for aoitlonal assigUnce With Tile addresses,contact <br /> the END.ApplIcAlonsrecelved aper 3:00 prix will be processed the next business day. <br /> 2. The EHD will north/the applicant If any EHD files exist. An appointment for review wig be con itmed <br /> approAmately ten(10)days after reoelpt of application. The files will be held for a maximum'of five business <br /> days for review. Appolntrhents should be scheduled accordingly. <br /> 3. A file that Is ac ftaly being Worked on by EHD staff may not be immediately avertable for review. A new <br /> application may be submitted when the file is available. <br /> d. Any life not returned In the same condition as released Will be reorganteed by EHD Staff at the expense of the <br /> appilcant, Futuna file reviews by the same applicant may require a$93.00 deposit prior to rei'l6w. <br /> r <br /> •5 ;�.`s� �''' of <br /> V <br /> III <br /> i <br />