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oAgv'N c CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> y y�l SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 E. HAZELTON AVENUE, STOCKTON CA 95205 <br /> BUSINESS PHONE: (209)468-3124 <br /> c9�iF8R�'�P BUSINESS HOURS: 8:A.M. TO 5:00 P.M MONDAY THROUGH FRIDAY(EXCLUDING HOLIDAYS) <br /> Permit No.: APN: OZrj- ?p—37 Contractor: <br /> Job-Site Address: rj 113 ��(, �Av,(,FWT Use of Structure: jCe-t ,)N e L <br /> Loot Planning Application No: U g- 11 <br /> OWNER NAME AND ADDRESS <br /> Name: AUCIA 9-PgE AHLEV, <br /> Address: A,i„\e <br /> City: State: Zip: S 2 Jr2. Telephone:( <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: nj Occupancy Load: <br /> Type of Construction: r t4 Square Feet: 44-.4o <br /> Zoning : AG 1-0 Fire Sprinklers: Yes/0 <br /> Before a final inspection can be made by the Building Inspection Division, and prior to issuance of a Certificate of <br /> Occupancy by the Building Official, APPROVAL SIGNATURES must be obtained from the agencies indicated below. Itis <br /> the applicant's responsibility to obtain all signatures and return this form to the Community Development Department. <br /> Please be aware that advanced notice and a field inspection time may be required by each agency prior to signature. <br /> NOTE: PLEASE BRING YOUR APPROVED BUILDING PLANS WHEN OBTAINING SIGNATURES ON THE CERTIFICATE OF <br /> OCCUPANCY ROUTING FORM. <br /> APPROVAL REQUIRED: DATE: <br /> DEPARTMENT F P LIC WORKS <br /> ' <br /> ENVIRONMENTAL HEALTH T <br /> COUNTY FIRE WARDEN <br /> FIRE CHIEF <br /> LOCAL FIRE DISTRICT: \`1OU1713WC->C=>1r <br /> CALTRANS <br /> MOUNTAIN HOUSE CSD <br /> El <br /> STOCKTON METRO AIRPORT(209)468-4700 <br /> OTHER <br /> OTHER <br /> NOTE TO DEPARTMENTS LISTED ABOVE: Your signature indicates that your conditions have been met and authorize <br /> the Community Development Department to complete a final inspection. <br /> Once the required signatures above are obtained, return this form to the Community Development Department. A final <br /> building inspection will be scheduled at your request. A final inspection will not be scheduled until this form has been <br /> completed and returned. <br /> FABUILDING\HANDOUTS\HANDOUT 072 C of O.doc(Revised 2/25/04) Page 1 of 2 <br />