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FOR OFFICE USI:: -' <br /> APPLICATIOIN' FOR SANITATION PERMIT <br /> x ��_�Cs— <br /> ....................................................... (Cantplete In Trfplfcatel k. Oermit No. ........... .... . <br /> ......:.......... .. ... i This Permit Expires 1 Year From Date Issued <br /> Date Issued4H- -A'..X <br /> .. ............ ............. ; <br /> Application is hereby made to the San Joaquin Local Health District for a permit to construct and install the work herein <br /> described. This application Is made In compliance with County Ordinance No. 549 and existing Rules and Regulatlonst <br /> JOB ADDRESS/L-O�C,A�TION <br /> .......... .. . ... ... .....................................................CENSUS TRACT .......................... <br /> Owner's Name <br />