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LODI FIRE DEPARTMENT <br /> PERMIT <br /> APPLICANT OR BUSINESS NAME: K11c a k I;,,,2 �O A A t <br /> APPLICANT OR BUSINESS ADDRESS: _�. n euy , 50a <br /> CITY-\,��OA. ZIP_ <br /> TELEPHONE: A/o — S-33 <br /> LOCATION OF PERMITTED PREMISES: kgoo s Al <br /> The above applicant is hereby granted a permit to perform the following: <br /> Q?�Q' C� � �QLQO)v <br /> 199`1, <br /> THIS PERMIT DOES NOT TAKE THE PLACE OF ANY LICENSE OR OTHER PERMIT REQUIRED BY LAW AND IT IS <br /> TO BE USED BY THE PERSON TO WHOM IT IS ISSUED AT THE ABOVE LOCATION. SAID PERMIT IN NO WAY <br /> RELIEVES THE PARTY TO WHOM IT IS ISSUED FROM FULL RESPONSIBILITY FOR DAMAGES INCURRED <br /> THROUGH ITS USE. THIS PERMIT SHALL BE FOR A PERIOD OF TIME AS INDICATED BELOW AND SHALL NOT <br /> BE TRANSFERABLE. ANY CU CUPANCY OF PREMISES SHALL REQUIRE A NEW PERMIT. <br /> SIGNATURE OF APPLICANT fi1�� � <br /> ISSUED BY: DATE: II <br /> WHITE - APPI IC. .NT vr-f i r Annnro, ni r <br />