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CERTIFICATE OF OCr UPANCY ROUTING FARM <br /> = San Joaquin CountyCommunity Development Department <br /> 1810 B. Hazelton Ave, Stockton., Ca 95205 <br /> Business Phone(209)468-3121 <br /> Permit No: BP-1202706 APN: 055-200-03 I Contractor; <br /> Job-Site Address: 11241 N THOkNTON RD STOC Use of Structure: Religious Assembly with Addition <br /> Planning A22licafiOn No: PA-0900291 <br /> OWNER NAMIE AND ADDRESS <br /> Name: PHRA$UDDHIVONGSAMUNEE BUDDHIST TE <br /> Address: 11253 N THORNTON RD STOCKTON CA 95209-4201 <br /> Telephone: <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: A-3 B Occu ane Load: 275 <br /> Inc of Construction:VB Square Feet.4952 <br /> Zoning, AG-40 Fire Sprinklers: Provided:NO ed:NO <br /> Before a final inspection can be made by the Building Inspection Division,and prior to issuance of a Certi$cate of <br /> Occupancy by the Building Official,APPROVAL SIGNATURES must be obtained from the agencies indicated below.It <br /> is 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 ire required by each agency prior to signature. <br /> NOTE: PLEASE BRING YOUR APPROVED BUILDING PLANS VVIWN OBTAINING SIGNATURES ON THE <br /> CERTIF ICATE OF OCCUPANCY ROUTLNG FORM. <br /> APPROVAL RE D- DATE: <br /> 0 /D 23 l3 <br /> DEPAR N7 F UBLIC"RKS 209468-3000 <br /> ENVIROWNiENTAL HEALTH 209-468-3420 <br /> CO 209-464-3165 <br /> 12 31? <br /> FX1 r2r-�� <br /> FIRE CHIEF-FIIt1 DISTRICT:LINCOLN 209-937-8271 <br /> CALTRANS 209-948.7543 <br /> MOUNTAIN HOUSE CSD 209-46"327 <br /> STOCKTON METRO AIRPORT 249-468-4700 <br /> OTHER <br /> NOTE TO DEPARTMENTS LISTED ABOVE:Your signature indicates that your conditions have been met and <br /> authorize the C2MEua <br /> ia DevelqgEcnt Department to cam late a final iris ection. <br /> Once the required signatures above are obtained,return this form to the Community Development Department_ A final <br /> buidling inspection will be scheduled at your request A final ins ection will not be scheduled until this form has been <br /> completed and rctuEBeiL <br /> FOR STAFF USE ONLY <br /> Anoroved <br /> Yes No <br /> CID mmuru Devela MS De artment Date <br /> �a <br />