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t-UK UFFICE USE: r <br /> 10 ............ <br /> -�-- <br /> -----------------------------------------------------.--- APPLICATION FOPL SANfTATION PERMIT Permit No. � <br /> ----------------------------------------------------1---- {Complete in Duplicate} w <br /> -------------- This Permit Ex ires 1 Year From Date Issued Date Issued �4- --------- <br /> Application is hereby made to the San Joaquin Local Health District for a permit to construct and install the work herein described. <br /> I This application is made in compliance:with County Ordinance No. 549. <br /> JOB ADDRESS AND LOCATI --til ,- --Q---___-.r <br /> i Owner's Name--------- <br /> F- ( n-. <br /> C.. - <br />