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FOR OFFICE USE: <br /> - _ r <br /> : -------- --- --- ------- r�.._ <br /> -------------'�--_-- APPLICATION FOR SANITAJION PERMIT Permit No. a . D.�� <br /> II <br /> � A <br /> - -- ------- --- - ----------------- --- - .._._ <br /> ----------- ------ (Con' plete in Duplicate) bate Issued <br /> ---- _--- ------- <br /> This Permit Expires 1 Year From bate Issued - <br /> Application is hereby made to thel San Joaquin Local Health District for a permit to construct and install the work herein described. <br /> This application is made irPcompliance with County Ordinance`No. 549. <br /> �S Ji�t <br /> Ot�rDRE�ND�LOiA� N <br /> El y-,•,-- -- -- <br /> ----- ! � -T---- <br /> Owner's Name--- t0/- ..� --------•----------- -------------------------- , <br /> r <br /> - - ------------------------------------------ _ Phone------------------ <br /> Address................ __9' .. <br /> II _ <br /> Contractor's Name --- -------•- - = <br />