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SAN JOAQUIN COUNTY <br /> ice` i COMMUNITY DEVELOPMENT DEPARTMENT <br /> • q:. .,`z 1810 E.HAZELTON AVE.,STOCKTON,CA 95205-6232 <br /> 4Fo~Rr+ PHONE:209/468-3121 FAX:209/468-31W <br /> CERTIFICATE OF COMPLIANCE <br /> ROUTING FORM <br /> Before the Certificate of Compliance(s) can be approved by the Community Development <br /> Department, APPROVAL SIGNATURES must be obtained from the agencies indicated <br /> below. It is the applicant's responsibility to obtain all signatures and return this form to <br /> the Community Development Department. <br /> Minor Subdivision Application Number: -NOD0 M0-''lS)(conditions of approval are <br /> attached) <br /> Approval Required: Date.- <br /> Department <br /> ate:Department of Public Works <br /> Environmental Health Department ( .7-ZA <br /> JCS ',jPat5L, nY-L C 0VL4'-C4 Ct, oz <br /> ❑ County Fire Warden <br /> ❑ Fire Chief <br /> Local Fire District: <br /> ❑ City of <br /> ❑ Caltrans <br /> 0 Office of Emergency Services <br /> Other Agency Pavle,� <br /> NOTE TO DEPARTMENTS LISTED ABOVE: Your signature indicates that your conditions <br /> have been met. Use the area below to note additional comments or conditions. <br />