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It <br /> Application - Mobilehome Permit <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 E. HAZELTON AVENUE, STOCKTON, CA. 95205 <br /> BUSINESS PHONE (209) 468-3120 <br /> FName: hl <br /> S POR71ON OF THE APPLICATION MUST BE COMPLETELY.FILLED OUT BY THE APPLICANT <br /> flMOBILEHOME PERMIT NO.: - <br /> WNER NAME AND ADDgESS APPLICANT NAME AND ADDRESS <br /> ( . lY���O/�(�-ni f_t- '-"i`._Y Name, SSI /l)0 /qN L <br /> Address /3 7 9J_..S 1C�� I:br..) J.trAddress: O I k EnJ ek <br /> City: 9 pN_ __ . I Stata: 0 O;ry: F}/U Ldf State: C!d <br /> ZIP: 36b Ph:( <br /> Signature: Dale: _ Q� <br /> THIS SECTION IS TO BE FILLED OUT BY DEVELOPMENT SERVICES STAFF <br /> SITE LOCATION INFORMATIONTechnician: a Date: l <br /> Job-Silo,Address: 2 g° L' APN: �D _ <br /> CrossStroet: 'Q City: 4e, ZIP: <br /> Precise Location: ' L0 L 7A &4ZSO f4 <br /> Remarks: <br /> Fee: 'BO <br /> H_eipt No.:� DD File No.: 2 <br /> Received by: Date://-/-9( Expiration Date: /' -94 1 <br /> COPY TO: ENVIRONMENTAL HEALTH <br />