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CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> San Joaquin CountyCommunity Development Department <br /> 1810 E. Hazelton Ave, Stockton,Ca 95205 <br /> Business Phone(209)468-3121 <br /> Permit No: B 3967 APN:212-160-17 Contractor: FULLMER CONSTRUCTION <br /> Job-Site Address:9375 W SUGAR RD TRAC Use of Structure: Pole Lights _ <br /> Planning Application No: <br /> OWNER NAME AND ADDRESS <br /> Name:OLLIIX LLC <br /> Address: 45875 NORTHPORT LOOP EAST FRIMONT CA 94538- <br /> Telephone: <br /> 4538-Tele hone: <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: U Occupancy Load: <br /> Type of Construction: VB Square Feet: 0 <br /> Zoning: 1-G Fire Sprinklers: 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, APPROVAL SIGNATURES must be obtained from the agencies indicated below.It <br /> is the 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 /> Y - <br /> DEPARTNT PUBLIC WORK 9-468-3000 <br /> L-1 —- <br /> ENVI"MEKA.H A1.TH 209461-Y420 <br /> (( CO TY F^IRAEsWARDN 209-468-3166 <br /> -- <br /> FIRE-C-IttE�-FIRE DISTRICT:TRACY RURAL 209-831-6700 <br /> l CALTRANS 209-948-7543 <br /> MOUNTAIN HOUSE CSD 209468-0327 <br /> STOCKTON 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 a 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. A final inspection will not be scheduled until this form has been <br /> completed and returned. <br />