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0 <br /> ;1.oi:' <br /> c <br /> .iGGi f:a,dnne <br /> DANIEL $HAiiAHM t-AKM <br /> VI '' <br /> iyttCliiiv `99E billed <br /> ue, + 1'J Iar3K fCll i.� k` . t!"fls Iee is Io vnuT' recil4 ed Flerm ,. <br /> crate for ?ht_' r,a;'in;- ja':' ua'ry I , 19 � to D)-,cerube`' _�1 , nin. <br /> _..ems. notpaiiJ t':q Sep te'tiii+ei' i , i' ;a= ear =SIA'Lijei:t to 1fJi?`.Y. psi"ial'ty . <br /> Pay'i18ia <br /> ha'.- be- Ser:tt. plea'sE di=_'i'ega'rd this. nntice. Shi,;a id y0'tt have arty <br /> 1`61 ng t.iii£S L+il ii'ng Stai.efiierli-, =lertE,e crntact this cifIJLV ai. <br /> LetwA en _ 1(l ? A.E'i. iinli !�.? r.M.. <br /> Notify the '_,an Joaquin Local <br /> Health District of am <br /> corlections or chxinges <br /> necessary . Your permit. will <br /> Lie mailed upon receipt of <br /> payment and approval of <br /> fkilit.y. <br /> Return paymentalong with one <br /> copy of this stat8i(leint. to: <br /> :AN JOAtUNI LOCAL. HEALTH DISIRIt:I <br /> ENVIRONMENTAL HEALTH PERN1TI,.3ER'dICE: <br /> P.O. PDX 2,009 <br /> SJOCKTuN, CA 962'O1 <br />