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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 /> 017 -086) -& <br /> THIS PORTION OF THE APPUCATION MUST BE COMPLETELY FILLED OUT EY THE APPLICANT <br /> PREVIOUS MOBILEHOME PERMIT NO.: 8' <br /> OWNER NAME ANUADDpESS APPLICANT NAME AND ADDRESS <br /> �n'�f✓l5 L <br /> Name: / Name: � I 'f l <br /> Address: GD Address: S IF. (-- f f <br /> City: fY State: d Y City: A O A aState: <br /> ZIP: 5� Ph:( )v , (�(p ZIP: C S C� Ph:( <br /> Signature: �� 1 Date: 3/J <br /> THIS.SECTION IS.TO.BE:FILLED;OUT BY DEVELOPMENT SERVICES STAFF <br /> SITE LOCATION INFORMATION,, Technician: Date: - f <br /> Job-Site Address: 19900 Al APN:2 - O L <br /> Cross-Street: >0 City: ZIP: z <br /> Precise Location: 01, k , y// H, <br /> 1fi/ 4 <br /> Remarks: F-29- 28 <br /> Fee: '�a Receipt No.: _2/1() File No.: M <br /> Received by: Date: I-y Expiration Date://-4,9// l <br /> COPY TO: ENVIRONMENTAL HEALTH <br /> OCT 3 1 1991ti <br /> GOMMu!,I I f (-Lib. <br /> PLANNING ,u:, <br />