Laserfiche WebLink
• • <br /> • <br /> Note: The application cannot be considered for filing until all of the above questions are answered and the fee paid. <br /> E- Do not write in space below—FOR DEPARTMENT USE ONLY <br /> Date of Application Sw Fee Paid $/O -" <br /> Permit Issued/Rejected (date) • Permit Number A('O 73 <br /> Sanitarian (name) <br /> Form 2 5-18-70 DCEHD Revised 11-23-70 <br />