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oras 1n• SAN JOAQUIN COUNTY <br /> �.• '�..,�ci .0 <br /> COMMUNITY DEVELOPMENT DEPARTMENT <br /> MESS <br /> 06 SEE <br /> 1610 E. HAZELTON AVE., STOCKTON, CA 95205.6292 <br /> c� c /;r.' o4i r PHONE: 209/466.3121 FAX: 209/486.3163 <br /> CERTIFICATE OF COMPLIANCE <br /> ROUTING FORM <br /> Before the Certificate of Compliance ( s) can be approved by the Community Development <br /> Department, APPROVAL SIGNATURES must be obtained from the agencies indicated <br /> below. It is the applicant' s responsibility to obtain all signatures and return this form to <br /> the Community Development Department , <br /> VIEWS <br /> Minor Subdivision Application Number : PA - ( 00309 ( conditions of approval are <br /> attached) <br /> Approval Required : Date : <br /> I-iK Department of Public Works <br /> SEE <br /> SIE Environmental 1-12epajIJILDepartment <br /> Act - - V16 <br /> C1 Air Pollution Control District <br /> [ ] County Fire Warden <br /> C] Fire Chief <br /> Local Fire District : <br /> [ I City of _ <br /> Caltrans Y� <br /> C1 Office of Emergency Services <br /> I_ ) Other Agency <br /> NOTE TO DEPARTMENTS LISTED ABOVE : Your signature indicates that your conditions <br /> have been met . Use the area below to note additional comments or conditions . <br />