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P. , . <br /> 4 <br /> ,. . <br /> ' - ■ DANE COUNTY r-CU'd� 1"S J Q <br /> • ENVIRONMENTAL HEALTH DEPARTMENT <br /> .' olit- <br /> 1 1202 NORTHPORT DRIVE ! <br /> MADISON.WISCONSIN 53704 -071,'.., t <br /> Ig- T90 7 Ld <br /> ,„,` jj <br /> TEL�HONE 2E8-4953 cy1 <br /> Establishment N: - Date / <br /> Operator ) , A„� tc7.► _�.._, ,// l •hone <br /> Owner ) <br /> Premise Location •/ % __I, i+.. . 4r11■11 0 f //ew OP <br /> (City - Village -Town) / File <br /> "2"7"e (7-0 El Premise <br /> % /./ ❑ Establishment <br /> El <br /> ,,,e/PAkt:7(. --aseeie. ,/ <br /> . I _3 (f7f- _ Arati, f e./ _ 7i---4,17. --- <br /> a 3//f71-d ,- /e - s /o lz.. <br /> P - /3 /7 3 p fc..,,Q.. i r <br /> .vim/9i9ff- G ,�„.P,1.1.. ` s" <br /> -a 9-Pa to i-s r k a n <br /> IA 9t6 � `' a A.Le� i �-,`r79'--. 3 I 1��r 9 - 1t-&.0 ca j 310 '1-, <br /> A4"1 - ■ (-‘67°-J` °' o cs2 A-& - o-e.Ac9 `,-, 3'6 s ii_g_e_di 9 <br /> FORM NO. 5 9/29/71 REVISED DCEHD <br /> I , <br />