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I A.4, UA.rl,4 i IxUu l li,.a 1 VIU11 <br /> Permit Number: S�1 c ' Assessor Parcel No. .3 c - <br /> Use of Structure : 5.0 r` <br /> Address of Structure : L( � <br /> Owner : l S y�� f.j,v . ) "Z Address : <br /> Doing Business As : <br /> Contractor : 0 Li-,nv e_f4, Co <br /> Occ. Group: Type of Construction: U ( f-!✓ °. <br /> Sprinklered Occ. Load Area <br /> Square Feet: of S <br /> Before a final inspection can be made by th <br /> Division and prior to issuance of a Certifi �� �• , .�� /`� <br /> Building Official, approval signatures must " <br /> agency listed below. It is the applicant ' s c, <br /> all signatures and return this form to thew AC11 <br /> be aware that advanced notice and field ins Q� b <br /> by each agency prior to signature . NOTE: <br /> Development Plan or plot plan when obtainir <br /> Certificate of Occupancy routing form. <br /> Public Works Department: ` ) <br /> Approval Signature V "� Date <br /> PUBLIC WOR DEPARTMENT <br /> Comments: <br /> San Joaquin Local Hea th Di ic <br /> PP gt• <br /> Approval Si nature !/� �'� Date <br /> y � <br /> RONALD VALINO I , ACTIN RECTOR <br /> ENVIRONMENT HEALTH D <br /> Comments: <br /> San Joaquin County Fire Warden or City of Stockton Fire Department: <br /> Approval Signature Date <br /> STEVE THIENES <br /> COUNTY FIRE WARDEN <br /> Approval Signature Date <br /> APPLICABLE FIRE CHIEF AND FIRE DISTRICT) <br /> Comments : <br /> ( 12/86) <br />