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SAN JOAQUM COUNTY <br /> PUBLIC HEALTH SERVICES E <br /> F�VIItONMwTAL HEALTH DIVISION l <br /> MMUC RECORDS <br /> RELTY,A►SE APPLICATION <br /> I APPLICANT4� <br /> ADDRESS — PHONE .NO <br /> AGENCY NAME- R E "PHONE NO <br /> ADDRESS <br /> c•.' c. o <br /> I <br /> I <br /> } ELLHADD= M3AD AGENCY DATE <br /> s - F <br /> r <br /> i � F <br /> I <br /> ENT- <br /> ?LIZSierria A(eva dnRECE V <br /> dJ <br /> U12,5 I. <br /> COUNTY <br /> `f E= i) PUBLIC HEALTH SERI <br /> ytrivIKORMENIAt EAL <br /> MUS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIMED IN THE 'PUBLIC HFAMN � <br /> SBRVICBSlENVIRONMF.NTALHEALTH DIVISION(FAD)]POLICY'{92-=,ORDINANCE CODE OF SAN <br /> ' JOAQUIN COUNTY, EHD FM AND SERVICE CHARGE RESOLXMONS, STATE WATER CODE, - <br />{ GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAMMUM OF TEN (lo)PRFMISE ADDRESSES PER REQUEST. ' <br /> �. PLFBLiC FILES/RECORDS REVIfiW ARfi BY APPOINTMENTS ARE <br /> ARRANGED BY CN.LING (209�+tb8-0340. OFFICE HOURS FOR `APPOIN7TdPNTS ARE SCFIEDUIM <br /> MONDAY THRU FIUDAY EXCLUDING <br /> P.M. HOLIDAYS, A.M.TO;12:00 NOON AND I:00 P.M. TO 430 <br /> Ir i <br />' t5 <br /> 3• A PUBLIC RECORDS RELF .SE APPLICATION ANDA NON-REFE DA=Dsrosn opupg <br /> IS REQUIRED- DEPOSITS WILL Sfi RM-URNED TO THS APPLICANT IF THE FILES/RECORDS E <br /> NOT AVAILABLE WMUN'THE CUSTODY OF THE EHD. � <br /> 4. THE ABOVE IDEN=D DEPOSIT 1S AFPLt&D TOWARDS THP TOTAL FILE REVIEW FEE <br /> ' CHARLIE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRI TO RfiVIEWINO THE <br /> DOCUMBN'T(S).' 75/kv,&& - Q-r� tl..c_ r jzaur-. <br /> �• PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WnL BE � <br /> CORRECTED BY THE EFID STAFF AT THE EXPENSE OF FRTHE�IAPPLiCANZ'. THIS ADDITIONAL <br /> SERVICE WILL BE BIL.I.ED TO THE APPLICANT FOR PAYMENT. 'l <br /> 6. ORIGINAL PUBLIC ESIRtCORDS SHALL NOT PE REMOVED!FROM THE MM FFJ MISES. <br /> :I <br /> \V SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASINQ OFFICIAL <br /> DATE <br /> Eft OO 14 (REV I2J92) <br /> E <br /> FO'd 01 �'� wnNa WHQV:rO CaAT-).T-Pq <br />