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QPM SAN JOAQUIN COUNTY <br /> COMMUNITY DEVELOPMENT DEPARTMENT <br /> ,••� 1010 a.HAZELTON AM,BTOUTON,CA 962056202 <br /> '''p• PHON6:20914600121 PAX:209RO8-0160 <br /> CERTIFICATE=OF COMPLIANCE <br /> ROUTING FORM CPA <br /> Before the Certificate of Compilance(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 Dsvetopmafit Department, <br /> Minor Subdivision Application Number: P1 3 1 (conditions.of approval are <br /> attached) <br /> Approval Required: Date: <br /> �-7 Dep t i of Publl W` s <br /> En <br /> viro en ealth Deparl <br /> ❑ Air Pollution Control District <br /> D County Fire Warden <br /> D Fire Chief <br /> Local Fire District: <br /> ❑ City of <br /> ❑ Caltrans <br /> ❑ Office of Emergency Services / f <br /> Other Agency <br /> q 1 III <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 />