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APPLICATION FOR PERMIT—�'`—j"�}y' n2�7 <br />SAN JOAQUIN LOCAL HEALTH D STRIC l C� <br />1601 E. HAZE T ON AVE., STOCKT )41(7, <br />Telephone (209) 466-6781 j <br />PERMIT EXPIRES 1 YEAR FROM DATq ISSUED <br />(Complete in Triplicate) <br />Application is hereby made to the San Joaquin Local Health District for a permit to construct bind/F <br />made in compliance with San Joaquin County Ordinance No. 549 for sewage or No. 1862 for we'% <br />