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PUBLIC HEALTH-DAYTON MONTGOMERY COUNTY 117 SOUTH MAIN STREET DAYTON OHIO 45422-1280 APPLICATION FOR REGISTRATION AS A SEWAGE TREATMENT SYSTEM SEPTAGE HAULER Business Applicant s Name Address Phone MAKE TRUCK DESCRIPTIONS attach sheet for add. trucks YEAR MODEL CAPACITY LIC. NUMBER Disposal Site s I hereby apply for registration as a Sewage Treatment System Septage Hauler with Public HealthDayton Montgomery County for the period of January 1 20 through December 31 20. Trucks YEAR MODEL...
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