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f <br /> FOR OFFICE USE: APPLICATION FOR SANITATION PERMIT <br /> ---- -------------------•---- ___ Permit No. <br /> ----- -- ---�1--�/�-' <br /> (Complete in Triplicate) <br /> ----------------------- --------------- <br /> This Permit Expires 1 Year From Date Issued <br /> Date Issued <br /> ----------------------------------------- <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 Regulations: <br /> ff y� -- 9'- ---------------------CENSUS TRACT _S-'y-_4Y-__--------- <br /> JOB ADDRESS/LOCATION L._ _��__�---�-- ---- -- ---- -- - - --------� -- <br /> Owner's Name ----- .----`---- --- ------ Phone <br /> t <br /> City ---- -- <br /> Address ----- 0. 9 <br /> .�- n - --------------------------------•----------...------- <br /> Contractor's Name ----- - -------- <br />