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12 05 02: 10p San icaquin Ccunty 4683127 p. <br /> CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> SAN JOAQU!M COUNTY C(OW11VUNITY DEVELOPMENT DEPARTMENT <br /> 11310 E. HAZEI-70NAVENUE, STOCKTCN CA 852C,5 <br /> BUSINESS PHONE- (209)468-3124 <br /> 7' BUSINESS HOURS: S:A.M..TO 5:00 P.M MONDAY THROUGH FRIDAY(EXCLU0 ING HOLIDAYS) <br /> Fermil No APN. I Contractor: <br /> jF DF^ Use of Structure: <br /> Job-Site,Address- 3 <br /> Planning Application No: UP—97——z 2S <br /> OWNER NAME AND ADDRESS <br /> Name: <br /> &6A <br /> Andress: <br /> City: tale: 1 Zip: Telephone:('] <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: Occupanzy Load: <br /> TYpSquare Feet�a of Construction <br /> Zoning Fire Sprinklers: Ye 10 <br /> Before a `nal j,-Ispection can be made Dy the Buitding Inspect on Division,and prior zo issuance of a Cerlfficpte of <br /> Occupancy Dy the 8--iliding Official APPROVAL SIGNATURES must be obtained from the agencies indicated below. ;t iE <br /> the applicant's mspon3ibiiity to obtain all signatures and return this form to the Community Develo,pmenl,Departme;il. <br /> Pieass be 2ware,,hat advanced notice and a fie d inspectior time may be required 5,,,each agency pror to signature. <br /> NOTE: PLSASE BRING YOUR APPROVED BUILCING PLANS WHEN OBTAINING SIGNATURES ON THE CERTIFICATE OF <br /> OCCUFANCY ROUTING FORM. <br /> APPROVAL REQUAIED: DATE: <br /> DEPARTM NT F PUBLIC WO <br /> X N ; ONt L EA_LT' <br /> X --- ,!, -- 5— <br /> DLJ,471.,'FIRE WARDEN <br /> FIRE CHIEF— <br /> LOCAL <br /> 41EFLOCAL FIRE D!STRICT:. <br /> r7 <br /> M"-'UN rAIN HOUSF CSD <br /> ❑ <br /> ..STOCK7CN 1AE1j RO AAr0RT(209)468-4700 <br /> OTHER <br /> CTHER <br /> NOTE TO DEPARTMENTS LISTED ABOVE: Your signature indicates that your conditions have been met and cuthooze <br /> the Cc,!T;rnu;:Ity Develament Department to corn Tete a final inspection. <br /> Cnr,e',iiarequired signatures above are:obtained, return this form to the Community Developmert Department Afina. <br /> oji'ding inspection will be scheduied at your -equesl- A final inspectign will not be scheduled until this form has beer, <br /> completed and returned. <br /> 072 C v,0 joc;RF65e-,2J--W4) Page 1 of 2 <br />