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Applications Will 6e Processed When Submitted ProperlyCompletep.bebur* 1 Ub I . �• <br /> APPLICATION <br /> " yt>MTransferable,Rsilocebte.and 9tiapt<ntlMblalSEfTAGE <br /> y <br /> ,ONVIRONMENTAL HE"TH.PIRWIffUQU10 WA <br /> Appl iCesion i crab made t on mess i the f url longi area df the San of L w Heattti Dia let <br /> y� { 9`7 <br /> M Business Name(D0 AddreM O ,:. <br /> Owner..,_,,.,_.,,.— Address x � � •; F� ��� , . 'ter ;zr� aQ "'lF <br /> Firm Partnere,Addressee and Telephone Numtlerl <br /> E lone Fb. '� .�tY , 1'� ,r• vtQ`�'�'`""'e„ 1r <br /> Business Telephone No. <br /> TANpf <br /> _✓ 5--t�0-S y <br /> ..?� -.' Y'`e `xr°F =..—7 7'. " t,-A :,'�k a�' .� 'a:w$ `N✓" a� <br /> ContrLftr Licence No.�.� �-- ►— �` I <br /> A lioants Name(Print) <br /> l L pP 4�a< ax A <br /> Please check AWicsb4e Category(1.7)and FM In No IN qk4 <br /> Mterinatlon r c;'� .r �� i <br /> 1. C] MfMPIER VEHICLE PERMIT REo1fiTRATtON(FOR SACH VBHICLL) � +� G 4_r <br /> For July 4, June 30.19 ._ i'Dbpoaal Sltef <br /> Desorlptlon(MiLkaft.Color) <br /> * a` ' + LioMwe Rertewat ft <br /> Serial No.���_ - CAL LieenM NO .' CAL: <br /> Capacity Gal•.Welghts,aa MMUM <br /> - aE' • a.'i{�'n.d+ �.:IF �W .,,�"FL T"a '.`a, r i*:"`,'r'� -_�i'�`' is i�4?+a,# <br /> Eq Parking Address <br /> 1 _' <br /> A O MJMPER YARD s � r <br /> For July t, June 30.19 2 ,r f Y x4 M", , <br /> No:of Whiclos Stored F z f <br /> No.of Chemical Toilets Stored r ,� � .,, w , •. <br /> $. ❑'PzPt*o ATIoN TEST <br /> :`4$'nC <br /> R.B.V R• Name y, I xry 5 R.S ar R.C.Q.Nay <br /> - Teat tion _ , ..�. �•t �� .��—,Treat �� <br /> 4.' "NMTION PERMIT <br /> ' <br /> JobWA <br /> F ressTl.oCatlo y cr,+:, "' a <br /> Owner - •� '" G PACKIIOLYPi�AN i1 <br /> © PTIC: <br />