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CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> Sanlonquin CountyCommunity Development Department <br /> 1810 E Hazelton Ave,Stockton,Ca 95205 <br /> Business Phone(209)468-3121 <br /> permit No k i.9tk 95 APN: 212-160-17 — Contractor: FULI,MER CONSTRUCTION <br /> Job-Site Address: 9375 W SUGAR IU)TRAC Use of Structure: Fence <br /> Planning Application No: <br /> OWNER NAME AND ADDRESS <br /> Name: 01,1,IIX LLC <br /> Address:45875 NORTHPORT LOOP EAST I-REMONT CA 94538- <br /> Telephone: <br /> STRUCTURE RKQU1RF,1qENTS <br /> Occupancy GrouE: U Occupant Load: <br /> ,rypeorConstruction: V13 Square Feet:0 <br /> Zoning: I-G Fire Sprinkle-s: Provided: NO <br /> Before a Final inspection can be made by the Building Inspection Division,and prior to issuance of a Certificate of <br /> Occupancy by the Building Official,APPROVAI,SIGNATURES must be obtained from the agencies indicated below. It <br /> is 111c;applicant's responsibility to obtain all signatures and return this form to the Community Development Department, <br /> Please be aware that advanced notice and a field inspection time may be required by each agency prior to signature. <br /> NOTE: PLEASE BRING YOUR APPROVED BUILDING PLANS WHEN OBTAINING SIGNATURES ON'THE <br /> CERTIFICATE OF OCCUPANCY ROUTING FORM. <br /> APPROVAL REQUIRED, DATE: <br /> 2/10/2021 <br /> D E P A R-4 ENT F IPYB�K'Nkl()RKS 209- 69 <br /> ENVIRON E--N'lr'A HFA14-1 209-468-3420 <br /> COUNTY FIRE E I 209-468-3166 <br /> TIRE-GW44;,I�-FIRF DISTRICT:TRACY RURAL 209-831-6700 <br /> t-fly-efor <br /> CAI,TRANS 209-948-7543 <br /> MOUNTAIN HOUSE CSD 209-468-0327 <br /> Sj'0CI<'I'ON METRO AIRPORT 2094684700 <br /> OTHER: <br /> NOTE TO DEPARTMENTS LISTED ABOVE: Your signature indicates that your conditions have been met and <br /> authorize the Community Development Department to complete it final inspection. <br /> Once the required signatures above are obtained,return this form to the Community Development Department. A final <br /> building inspection will be scheduled at your request. -Ahnall inspection will not be scheduled until this form has been <br /> completed and returned. <br />