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FOR OFFICE USE: <br /> APPLICATION FOR SANITATION PERMIT <br /> (Complete in Triplicate) Permit No. 3...:.............. <br /> ........................................................ This Permit Expires 1 Year From Date Issued Date Issued <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 /> J08 ADDRESS/LO ION L C-. - . -----•• --- ................CENSUS TRAC <br /> Owner's Name - .... ....-..,.,. <br /> � � " --------------Phone .... .j3�.�.Y.. <br /> Address .. L� �4 •Q- h6'- City ...... <br /> .. �; ............" <br /> Contractor's Name _�4 <br />