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FOR OFFICE USE: <br /> APPLICATION FOR SANITATION PERMIT <br /> --- ------- - ------- ----- - Permit No.�'`'_."��� <br /> (Complete in Triplicate) <br /> d <br /> ----------------------------------------------- This Permit Expires I Year From Date Issued Date Issued <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 Regulations: <br /> JOB ADDRESS/LOCATION J13 /r�'' /y,L_ ifr k'C' - - CENSUS TRACT <br /> Owner's Name ---- ------ ------------------------ -----c,.---- -�-----Phone _1 v_"-�'��S?- ------- <br /> Address =- rte -------44- - � E-_c==- -------- -------- -----------. City a �C-/ _�ytC�-�h�f-'- --- -- ----- -------- <br /> Contractor's Name. fir/ =' 't_�_IG_cy_,� _- iY. ____.License # , E%.':�. <br />