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,opa co SAN JOAOUIN COUNTY <br /> !I 2 ti COMMUNITY DEVELOPMENT DEPARTMENT. <br /> .r •.• f910 E.HAZELTONAVE..STOCKTON,CA 95205-623.2 <br /> �4['•`•``'6Ti,P rF R PHONE:209/466-3121 FAX:2091468-3163 <br /> 63 <br /> 0 <br /> CERTIFICATE OF COMPLIANCE <br /> ROUTING FORM <br /> ,Before the Certificate of Compliance(s}car be approved by the Community Development <br /> Department,`APPROVAL-SIGNATURES,rnust be obtained.from the agencies indicated <br /> (below: It is the applicant's responsibility to obtain all signatures and return this form to j <br /> the Community Development Department. i <br /> ,Minor,Subdivision Application Number: 12-06-5ZOCMS (conditions of approval are <br /> ,attached) <br /> Approval Required: Date: <br /> Kl <br /> r� 1 <br /> rt 'n�bf P lblic orks <br /> ti I_e r 4261;n 7, <br /> yl <br /> Owa �- B• fA B/.ci�ANO <br /> ❑ En ri rtm to <br /> ❑ Air Pollution Control District <br /> ❑ County Fire Warden <br /> I <br /> ❑ Fire Chief <br /> Local Fire District: <br /> D City of i <br /> Q Caltrans <br /> ❑ Office of Emergency Services, <br /> ❑ Other Agency <br /> NOTE TO DEPARTMENTS LISTED ABOVE: Your signature indicates that your conditions <br /> have been meta Use the area below to note additional comments or conditions. <br /> V <br /> 1 <br />