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1 <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 /> THIS PaRTiON OFTfiE'APPUCA:TIOI MUST BE<COMPLETELYFILLEII'O[1T"B�-ME-AP06OAHT <br /> PREVIOUS MCSILEHOME PERMIT NO.. `04 F- <br /> J'J C�cr/1'1.�� G� nru a'Z}3--lGa Z �Gc+►�1�'l� / � 4�' C�F4f+�M�IT Cw g <br /> OWNI:A;NA1r1E°At+11TA013RESS ::; APPLJCANT.N�tIVIEIrNpAQOFiLSS. <br /> Name: Zp^f�4c G. j L,.q V&&jZ_ Na--: C f e9"+�JIC A r fJbo�) <br /> Address: 7�' �, T'�� Address: <br /> C+tY= A(=f'1 M 70 State: e 04 City: State: <br /> ZIP: ais�iZ.a Ph: ) 33- 7371 ZIP: Ph:( ) - ] <br /> Signature: L• Date: <br /> IVII i;t: <br /> PLONINn <br /> THIS'SECTION:IS•TO-BE FILLED,CUT BY-OEIIELOPMENT.SERVICES STAFF' <br /> `� <br /> SITE,LOCATION INFORMATION <br /> :ob 5ite+address: �F'`�e� ��'. _-.�C.C.�ILC +L� ? APN:Oc)-3- q(J-0oZ.l <br /> Cross Street: C; <br /> tY: Z1P9�a 2,0 <br /> c i <br /> Precise Location: 3 <br /> Pemarks- <br /> Fie: 11� L 1 Receiat No.: w pG/�- Fiie No.: <br /> eceived by: c; i. f 'Date:- -5' 31 .1[� 'ENpiration Date: �- <br /> COPY TO: ENVIRONMENTAL HEALTH <br /> (CE'/SYC',FCF�,IS'�rA_,�1NR.L3 d-t2-9t) <br /> I <br /> I <br /> t <br /> 1 <br /> M <br />