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CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> Permit Number:IG6600 Assessor Parcel No. � _ p 0- Ua_ <br /> Use of Structure: Cwtz,-�- �ss L,LF-(-::ptN(, ViT S.toll <br /> Address of Structure: I ISZ6 W , C-tE#{f h1(Lg- (2 p, _ <br /> Owner: Address : l'7 �;S <br /> Doing Business As : VCrvcGC l�L1u� xxeLv6 <br /> Contractor : - Contact Phone No. : `' 42y 40r-F <br /> Occ . Group: Type of Construction : Zoning : <br /> Sprinklered: ►tp Occ. Load : Area Separation Wail in Lieu <br /> Square Feet: k1al of Sprinkler : No. <br /> Before a final inspection can be made by the Building Inspection Division <br /> and prior to issuance of a Certificate of Occupancy by the Building <br /> Official , APPROVAL SIGNATURES must be obtained from each agency listed <br /> below. It is the applicant ' s responsibility to obtain all signatures and <br /> return this form to the Building Division . Please be aware that advanced <br /> notice and field inspection time may be required by each agency prior to <br /> signature. If your project is in a flood zone , Flood Control must have the <br /> elevation certificate properly signed before approval can be granted. <br /> NOTE: Please bring your approved Development Plan or plot plan when <br /> obtaining signatures on the Certificate olOccupancy Ro`urin-g-Form. <br /> Public Works Department: <br /> Approval Signature 7/ '' Date <br /> PUBLIC WORKS DET5ARTMENT <br /> Comments : <br /> Flood Plain Administrator : <br /> Approval Signature Date <br /> TOM IWAMIYA <br /> FLOOD PLAIN ADMINISTRATOR <br /> San Joaauin Local Health District: �'tn �{ '' <br /> Approval SignatureL�', �I _-y Date <br /> 0 ALD VALINOTI , DIRECTOR <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Comments : <br /> Air Pollution Control District: torr <br /> Approval Signature_ Date <br /> LAKHMIR GREWAL, DIRECTOR <br /> Comments : <br /> San Joaquin County Fire Warden or Applicable Fire District : <br /> Approval Signature_ Date- _ <br /> STEVE THIENES , COUNTY FIRE WARDEN <br /> Approval Signature_ Date_ <br /> (APPLICABLE FIRE CHIEF AND FIRE DISTRICT) <br /> Comments : <br /> * * * ( 10,89 ) <br />