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_ 10_/1_5/2003_08:17 9167826008 GAP.DNER PAGE 02/02 <br /> J,1 10 03 11 :49& S1 Joaquin County <br /> 00of -... <br /> CERTIFICATE OF COMPLIANCE <br /> ROUTINO FORM <br /> Before the Gertiflcste of GOMPhance(s)Can be approved by the Cvrnrnunity Development <br /> Department.APPWWAL 3tGKtTURl`S must be obtained frrnm the agencies Indicated <br /> below. tt is the appticaors responsoftity to obtain all signatures and retum this forms to <br /> the Community oevsioprnerrt DeparUnent. <br /> Minor Subdivision Application Humber: fl ("mdWons of approval are <br /> attached) <br /> Approvai Required- Qete: <br /> Department of Public Works <br /> En mental Health Department <br /> II Air pollution Control District <br /> Ownty Fira Warden <br /> Fire Chief <br /> Local Fire bistricY Q t <br /> C City of <br /> L� Caaftrans <br /> ❑ C+tfice of ErnwVency 5ervires <br /> Q Other Agency <br /> NOTE TO DEPARTMENTS LISTED ABOVE:Your signature indicates that your conditlons <br /> have been feet Use the area below to note addWonal comments or conditions, <br /> tb � <br />