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* S'AN ,ICAV-11N LOCAL HEALTH UI:3TRIC T <br /> Y <br /> C. Ha-e l t pan Ave, , P-1-#-?. BOA �E)tJ'� <br /> St.a,rk:torl, CAA 95-V <br /> Jogi Khan-na, M.U. , Health 'Of f-1cer <br /> C:I R;:U26 <br /> CIRCLE K CORPORATION ION C:IR LE. K CORPORATION <br /> .NSO M', . C?IABLO _T . �C°��s MT. UI€�ELC� �J <br /> OCKTC& CA 9`203 <br /> UI i 11iiq NePmiA U-nde <br /> t•at-eiAel9t• FF{'i 1' _aC l -4 't-LJ-1d Tank Far i i i i•'Y . <br /> : tcat-emellt Date -January 15, 1933 <br /> Payment- Due Date: Feb,%Ua-y I' <br /> F aa_ilit•y Fee= iC?J.€JU <br /> C:�_�nt• ir7e, Naai,€ber: (1001 50.s() <br /> TOTAL 1 A,L FEE: DUE: <br /> Ni ATE' <br /> Ni-ti# y' the Cocait 1=-aciuin Lc-cal <br /> Health District- ,_f any PA <br /> YME�i <br /> coy--rec t-sc"ns CIF 4 r ii°�te�• �+E�V D <br /> necessairY . YrJUr Permit will c': <br /> Cie iiac€i t eo upon r e c e i F•t- o{ � <br /> � . 2payment and approval of <br /> . 1 <br /> fa-ility . . •• <br /> • •• �N'V1RONMENTAL HEALTH <br /> •• PERMITISERVICE. <br /> nwtt,rn p ayffient• along With, orle <br /> copy of this statement. to: <br /> =r�i4 7DA01,JIN LOCAL HEALTH Di'. KILM ••• <br /> ENVIRONMENTAL HEALTH F°ERMIT/S:Rv.;I E' •. <br /> '='.TFJCKTE N, CA 3-S201 <br /> r°erl a l t.i es will be added of t-e'i% <br /> due Uat-e as shown: <br /> iil 'jays - 11?[?':fr a_iI Ease Fee <br />