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FOR OFFICE USE: <br /> --------------------------------------- ---------------- <br /> APPLICATION FOR SANITATION PERMIT Permit No. . ........21 <br /> --- - _ _ - .________________---- ------- (Complete in Duplicate) I <br /> Date Issued ------ .. <br /> ----------------- ---_- -_-_ -_.._. This Permit Expires 1 Year From Date Issued <br /> Application is hereby made to the San Joaquin Local Health District for a permit to construct and install the work herein described. <br /> This application is madei�cospDia�nce with County Ordinance No. 549. PVreHE�&[: ,\' Lpc�n/ <br /> JOB ADDRESS AND-LOCATION----!'1 U -1//1�----- T-d--------Se s-----of W'- /c'11JQ <br />