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APPLICATION FOR PERMIT <br /> SAN 77"'"lAQUIN COUNTY PUBLIC HEALTH "toMICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 445 N SAN JOAQUIN, PHONE (209)468-3420 <br /> P 0 BOX 2009, STOCKTON, CA 95201 <br /> PERMIT EXPIRES 1 YEAR FROM DATE ISSUED <br /> (Complete in Triplicate) <br /> Application is hereby made to San Joaquin County for a permit to construct and/or install the work herein described. This <br /> application is made in compliance with San Joaquin County Ordinance No. 549 and 1862 and the Rules and Regulations of San <br /> Joaquin County Public Health Services. 2(__ <br /> j <br /> Job Address `�? S `( ( Cit �t Lot Size/Acreage GL� <br /> Owner's Name� 7V Q (Z�1 c(') y� Address ��r'� jr; l4p-t'-.5y 1—+t /kc P one �T <br /> �( n r( <br /> Contracts ���f l�l( R2�sa i� Address ? <br />