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FOR OFFICE USE: <br /> APPLICATION FOR SANITATION PERMIT <br /> (Complete in Triplicate) Permit No. ____________ _ ___.. <br /> ---------------- this Permit Expires 1 Year From Date Issued Date Issued _ _"3�__--__�. <br /> Application is hereby made to the San Joaquin Local Health District for a per 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 /> JOB ADDRESS/LO OWN lT.r----------- '"Q,-- ---------- Iu=.._CENSUS TRACT <br /> W 11 �I ) ------- <br /> Owner's Name 1_I-- -E - --------�. --------------------------- --- Phone- - ------ <br /> Address - /0./ -71_ S'6 'Y - ----------- •--•- city Il/ <br /> Contractor's Name --------- E.--1--►------ 1 '- /----' ------------------------License T.!__ Phone..s1 <br />