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County Departm~t of Public IIealth <br /> ~ 973O1 (588~5346), ag~ut f6r: <br />Departm~t of Eavirom~al Q~udtty <br /> <br />To be submitted ~ri~h at~lic~tic~ for <br />building pexmit c~ m~blle hame <br /> <br />l~x~itFe~s: <br /> <br />New - $50.00 (~5.00 ~rlth atte evalu~tion) <br /> <br />C~ty, ~c~;e, ~/p~xx/l~ <br /> <br />Tax LO~ or Account <br /> <br /> size <br /> <br />~11er ' S Nem~ <br /> <br />New <br /> <br />Inst~Llatt~m will <br /> <br />~ter 8u~pl~; Public <br /> <br />~epaZr <br /> <br />-- Coam~ity ___/PriVate ,, <br /> <br />l~bile Fiar~ Park <br /> <br />1. ~ Sul~surfax~ ~ Dislx~al sFst~m Plot Plan <br /> <br />2. P]amuLa~ Eva/u~t~ ~ ~utldtug Pezt~t <br /> <br />to the beet of m~ knnwledge and belief. <br />Pelm/t No, ~ <br /> <br />]~-57 7/74 <br /> <br /> <br />