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Use of Structure : 6ir //tcs S/-/eQ <br /> Address of Structure : 67 ZiE'E/V d 0AMP ROAD <br /> Owner : Alf% DMi4T� Address : 77 Fae��1/GN 0,4mp <br /> Doing Business As : <br /> Contractor :-44 yMpNf� �jREE2 Contact Phone No. :465-7279 <br /> Occ. Group: Fie Type of Construction: Zoning: <br /> Sprinklered : yEs Occ. Load :��_ Area Separation Wall in Lieu <br /> Square Feet:AZ F,75' of Sprinkler: N.A . <br /> Before a final inspection can be made by the Building Inspection <br /> Division and prior to issuance of a Certificate of Occupancy by the <br /> Building Official , approval signatures must be obtained from each <br /> agency listed below. It is the applicant ' s responsibility to obtain <br /> all signatures and return this form to the Building Division. Please <br /> be aware that advanced notice and field inspection time may be required <br /> by each agency prior to signature . NOTE: Please bring your approved <br /> Development Plan or plot plan when obtaining signatures on the <br /> Certificate of Occupancy routing form. <br /> Public Works Department: <br /> Approval Signature �- �M' Date C— <br /> PUBLIC WORKS DEPARTMENT <br /> Comments: <br /> San Joaquin Local Health District: <br /> Approval Signature 21-,� A Date <br /> -RONALD VAL NO , ACTING DIRECTOR <br /> ENVIRONMENTAL HEALTH DIVISION <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 />