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7—12—1 946 j: F'Fl r rcur i a v, cw ... ��G�/ /l✓� <br /> SAN JOAQU N COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> // pUBUC RECORDS 1�>+.i EASE APPLICATION <br /> APPLICANT 1 `11�-' PHONE NO �$ 0 <br /> ADDRP.SS d <br /> AGENCY NAME ?4tE=f ONE NOT IS- F6 <br /> ADDRESS <br /> FILE.ADD S LEAD AGENCY DA`I H <br /> Sy <br /> . o V . , &11ALA� � c. <br /> 5 � <br /> WAa <br /> TIi1S NUTICH IS SUIilECI' TO THE REQUIREMENTS IDENTIF7FD IN TIlig PURUC REAI,TH <br /> SPItVICES/ENVIRONMENTAL HEALTH DIVISION(Ftif))POLICY#1)2.m7.ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, MID FEES AND SERVICE CHARGE RMLUTIONS, STATE WATER CODE- <br /> GOVERNMENT CODE AND THU EVIDENCE CODE. <br /> !. A MAXIMUM OF TEN(10)PREMISE ADDRESSES PER REQUEST. <br /> 2• pI18LIC E'IIXS/RECORDS REVIIiW ARE BY APEMIT_M(iNT Olt Lly, APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS,8:00 A-M.TO 12:00 NOUN AND L:00 P.M.TO 4:30 <br /> P.M. , <br /> A Eb.DEPOSITS WILL BE RETURNED 'O THE APPLICANT P I <br /> IT14EIFILESIRECORDS'ARE <br /> S REQUIR <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> IEW FEE <br /> 4, THE ABOVE IDENTIFIED HE Cf ARG ARE DDUE ANU ED PAYABLDS E TpR1UR TO OTAL REVIEVWING THE <br /> CHARGE. '1HE BALANCE <br /> DOCUMENT(S). <br /> VED WILL BE <br /> PUBLIC L'1THE EHD STAFF ATNOT TEIENED EXPENSE OF TI11r APPLICANTNTI-119 SAME CONDITION S I <br /> THIS <br /> C ADDITIONAL <br /> ORRECTEn By TH <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILESIRECORDS SHALL NOT BE REMOVED FROM THE pID PREMISES- <br /> 6. <br /> OF APPLICANT BATE <br /> SIGNATURE OP RELEASING OFFICIAL DATE <br /> EH 00 14(REV 12/92) <br /> 'q <br /> • •.r. <br />