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• ONSITE WASTEWATER TREATMENT SYSTEM PERMIT /,5✓ <br />SAN ;1ACIUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. HAZELTON AVENUE - STOCKTON CA 95205 - (209) 468-3420 <br />fVUN-HEFUNDABLE PERMIT GALL <br />JOB ADDRESS On <br />CROSS STREET G rQ 0%+1'wC' A'� <br />Zane. <br />OWNER NAME fX' <br />953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUEI <br />T-5-A10 CIT/Y/�ZIP �r ����� IT -5- <br />A P N <br />PN'�%l/ (� PARCEL SIZE <br />PHONE <br />OWNER ADDRESS :Cali -CITY/STATE/ZIP <br />� `_ <br />CONTRACTOR I,(�/S 19 04-K9, we, �/ • PHONE -L /� age, 5- <br />CONTRACTOR ADDRESS pLi <br />