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06/28/2016 13:03 FAX 2084683163 SJC_COMM_0EV .t//i^n i � 16002/003 <br /> CERTIFICATE OF OCCUPANCY ROUTING FORINT <br /> San Jonquiux CountyContmunity Development Department <br /> 1810 E.Hazelton Ave, Stockton,Ca 95205 <br /> i Business Phone(209)468-3121 <br /> Permit No: BP-1503579 APN: 257-240-48 Contractor:JOHN SIICKEMA CONSTRUCTION, INC. <br /> Job Site Address: 9839 E HUTCHINSON RD MANT Use of Structure:AG ProcessiRS.Facility <br /> Plalaniat <br /> A--N—+; n No: <br /> OWNER NAME AND ADDRESS <br /> Name: VAN GRONINGEN,CHRISTOPHER&LAUR <br /> Address: 9851 HUTCHINSON RD MANTECA CA 95337-8967 <br /> Telephone: <br /> STRUCTURE RE UIREhIENT3 <br /> Occupancy Group:F-2 Occupancy Load: 107 <br /> T e Of Construction: IIB Square Feet: 32000 <br /> Zonin : AG-40 Fire S 'nklers: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 BUIWI NG PLANS WREN OBTAINING SIGNATURES ON Tim <br /> CERTIFICATE OF OCCUPANCY ROUTING FORM, <br /> APPROVAL REOUIRED: DATE: <br /> DEPAI OF PUBLIC WORKS 209468-3000 <br /> ❑ <br /> ❑ ENVIRONMENTAL HEALTH 209-469-3420 <br /> Z COUNTY FIRE WARDEN 209-468-3166 <br /> FTRB CIF-FIRE DISTRICT:RIPON 209-599-4209 <br /> CALTRANS 209-948-7543 <br /> MOUNTAIN HOUSE CSD 209-468-0327 <br /> STOCKTON METRO AIRPORT 209.468-4700 <br /> OTHER- <br /> NOTE TO DEPARTMENTS LISTED ABOVE: Your signature indicates that your conditions have been met and <br /> authorise 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 /> buidling inspection will be scheduled at your request. A final inspection will not be scheduled until this form has been <br /> completed and returned. <br />