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SAN JOAQUIN COUNTY <br /> COMMUNITY DEVELOPMENT DEPARTMENT <br /> . .• 1810 E.HAZELTON AVE.,STOCKTON,CA 95205-6232 (N (cc <br /> PHONE:209/466-3121 FAX:209/468.3163 f� lJ / <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 /> Minor Subdivision Application Number: VIA �� (conditions of approval are <br /> attached) <br /> Approval Required: Date: <br /> rtmer*pf orks /s <br /> tal h Department <br /> ❑ Air Pollution Control District <br /> ❑ County Fire Warden <br /> ❑ Fire Chief <br /> Local Fire District: <br /> ❑ City of <br /> ❑ Caltrans <br /> ❑ Office of Emergency Services <br /> ❑ 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 />