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hUK Uttl(_t USt: -- <br /> �/� ------------------- <br /> ----------- __ �, APPLICATION I=OR,SANITATION PERMIT Permit No. ...17,ff ... <br /> --------------------------------------------------------- (Complete in Duplicate) / <br /> ----------.--- This Permit Expires 1 Year From Date Issued bate Issued <br /> Application is hereby made to the San Joaquin Local Health District for a permit to construct and install the work herein described. <br /> This application is made in compliance with County Ordinance No. 549. <br /> �J l ,✓� <br /> JOB ADDRESS AND- OCATION____ �-V------- � / _ ___ _!..__- a f <br /> Owner's Name-------- � �- - --- _ <br /> -r - ----------------------------------- Phone---------------------............... <br /> ff <br /> Address.. - .4? �' <br />