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�0 IN,-. �.. '` CERTIFICATE OF OCC 1"ANCY ROUTING FORM San Joaquin CountyCommunity Development Department 1810 E. I Iazelton Ave, Stockton, Ca 95205 Business Phone (209) 468-3121 Pen -nit No: BP -2101461 I APN: 061-030-71 Contractor: Job -Site Address: 14165 N BECKMAN RD LODI Use of Structure: Gradin Planning Application No: OWNER NAME AND ADDRESS Name: CHEROKEE MEMORIAL PARK INC Address: PO BOX 1000 LODI CA 95241 - Tele hone: STRUCTURE REQUIREMENTS Occupancy Group: U Occupancy Load: Type of Construction: Square Feet: 0 Zoning: P -F Fire Sprinklers: Provided: NO Before a final inspection can be made by the Building Inspection Division, and prior to issuance of a Certificate of Occupancy by the Building Official, APPROVAL SIGNATURES must be obtained from the agencies indicated below. It is the applicant's responsibility to obtain all signatures and return this form to the Community Development Department. Please be aware that advanced notice and afield inspection time may be required by each agency prior to signature. NOTE: PLEASE BRING YOUR APPROVED BUILDING PLANS WHEN OBTAINING SIGNATURES ON THE CERTIFICATE OF OCCUPANCY ROUTING FORM. APPROVAL REQUIRED: DATE: DEP TM OF PUBLI 209-468-3000 q ❑ ( ❑ �. VIRO E L HEALTH 209-468-3420 ❑ COUNTY FIRE WARDEN 209-468-3166 ❑ -- FIRE CHIEF -FIRE DISTRICT: WOODBRIDGE 209-369-1945 CALTRANS 209-948-7543 MOUNTAIN HOUSE CSD 209-468-0327 ❑ STOCKTON METRO AIRPORT 209-468-4700 ❑ OTHER: NOTE TO DEPARTMENTS LISTED ABOVE: Your signature indicates that your conditions have been met and authorize the Community Development Department to complete a final inspection. Once the required signatures above are obtained, return this form to the Community Development Department. A final building inspection will be scheduled at your request. A final inspection will not be scheduled until this form has been completed and returned.