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FOR OFFICE USE: APPLICATION FOR SANITATION PERMIT <br /> --------------------------------------------------------- <br /> (Complete in Triplicate) Permit No <br /> ---------- This Permit Expires 1 Year From Date Issued Date Issued ��__'_�Q <br /> • c <br /> Application is hereby made to the San Joaquin Local Health District for a permit to construct and install the work herein� <br /> T described. This application is made in compliance with County Ordinance No. 549 and existing Rules and Regulations: <br /> JOB ADDRESS/LOCATION XC � c /` `____ _''C_�___�_,i41�0 W .*SUS TRACT -------------------------- <br /> Owner's Namei � ... Phone------------- 'x <br /> Address -'l�fik►i- ---------------------------------------- City r' �� %� �C: <br /> ------------- --• --•-•---- <br /> t Contractor's Name -6,-- _[-. '�/ �f. <br />