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a <br /> gUIN CHECK LIST <br /> - EIS®LITE®IV PERMIT <br /> P <br /> �O mE�"•C9G <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> y' :< 1810 E. HAZELTON AVENUE,STOCKTON CA 95205 <br /> ® BUSINESS PHONE: (209) 468-3121 <br /> P INSPECTION REQUEST 24-HOUR RECORDER: (209) 468-3165 <br /> q<I FO Rl1 i <br /> I <br /> j <br /> CHECKLIST <br /> THE FOLLOWING INFORMATION AND DOCUMENTATION MUST BE SUBMITTED TO DEVELOPMENT SERVICES Check- <br /> BEFORE YOUR APPLICATION CAN BE PROCESSED. Off <br /> 1. One completed Application. <br /> 2. Obtain Environmental Health Department Approval on Demolition Permit Application. The final <br /> disposition of the well and septic system must be identified prior to application approval. <br /> 3. If your demolition project is 1200 sq. ft. or more you must obtain an approved Debris Diversion fl lC e, <br /> t ' Plan from Public Works Solid Waste Division office at 1810 E.Hazelton Ave., Stockton,468-3066, <br /> PRIOR to obtaining your Demolition Permit.. <br /> 4. Obtain Air Pollution Control District Approval on Demolition Permit Application. <br /> 5. It is the applicant's responsibility to notify P.G.&E. and have utilities disconnected. It is also the <br /> applicant's responsibility to insure P.G.&E. notifies the Building Inspection Division that these <br /> utilities have been properly disconnected. Please contact P.G.&E. at(209) 942-1526. <br /> Scope of Work: 7ci vu (Z <br /> Project Address: <br /> DEPARTMENTS LISTED BELOW MUST GIVE tPPROVAL FRIOR TO ISSUING DEMOLITION PERMIT <br /> Environmental Health Department Approval Signature: Date Issued: h� <br /> San Joaquin Valley Unified Air Pollution Control ! n Date Issued- <br /> District District Approval SignatureI Q—`c Q I b'1 ` 10 14 <br /> AIR POLLUTION CONTROL DISTRICT ENVIRONMENTAL HEALTH DEPARTMENT <br /> 4800 Enterprise Way 1868 E Hazelton Ave <br /> Modesto, CA Stockton,CA 95205 <br /> (209)557-6400 (209)468-3420 <br /> F:Wpplication Fonns&Handouts%Check lists\Check List Demolition Permitdoc(Revised 1-11-11) <br />