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FOR OFFICE USE: APPLICAT40N F� <br /> ► .3R SANITATION PERMIT <br /> �o <br /> ------- <br /> " '! (Com�+'lete in Triplicate) � Permit No. ..�....�1_.._.. <br /> • Date Issued . <br /> ...._....".......................•....................... This Permit Expires 1 Year From Date Issued <br /> Application is hereby made to the San Joaquin Local Health District for a permit 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/LOCATION .....................;:....:• -��........ e�,k�}rrr .... ...CENSUS TRACT ....... <br /> Owners Named 1' _07 •-• Stone .,_., <br /> Address ...................... ..6,,( eP-!41WNTQ:IikitY ..._. _....---............-----•--............... <br /> Contractor's Name ---A-� �...1�� 1 ,.:..............•................................License # :c2 .Pt6_15-sZPhone 37................. <br /> Installation will serve: Residence($Apartment Houseo Commercial ❑Trailer Court ] <br /> Motel-Q Other- <br />