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I `^s <br /> SAN JOAN COUNTY PUBLIC HEALTH NOWCES <br /> P O Box 388 • STDarnw, CA 95201-0388 • PHONE (209) 4681420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA HERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE # 005,_;28 •rop PR SOi',4.y0 <br /> 004 KA EL <br /> Valid from 11/12/96 to 12!31f96 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> Those referenced above are Valid ONLY for <br /> OWNER NAME ! BURKHOLDER, JAAAdETT <br /> 060 STONEWALL RETRIEVERS <br /> THIS FORM MUST BE DISPLAYED CONSPIC UOi.1'SLY ON THE PREMISES <br /> RT&JLASEJ FkNLIN! STO}'yF'4{;iALL RETRIEVERS facility ji, C*10 41'3 <br /> 23840 ; ;-`EARL Acccamt, M; 0011187 <br /> A3,:€=EMPO , CA SS220 Permit 15��ij'; 11/22/9F, <br /> BILL11% CUES <br />