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r' <br /> nit)*�'. <br /> CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 E. HAZELTON AVENUE, STOCKTON, CA 95205 <br /> BUSINESS PHONE (209) 468-3123 <br /> Permit No.: ` APN: 1-19-001-27- <br /> `j —Q0' f-Q Business License No.: <br /> Job-She Address: ) _ I o , Use of Structure: VG fj+-}fl <br /> Doing Business As:0 LP ��� Cal, i1�C Planning Application No.: �j►�t� ktjv25�. L✓ % <br /> OWNER NAME AND ADDRESS CONTRACTOR NAME AND ADDRESS <br /> Name: �/i/ � Name: C QLt 2�� IQ C , <br /> Address: Address: <br /> Cny: State: UJA, City: State: <br /> ZIP: 9 �E , g <br /> PH: -83 '1_ ZIP: PH: <br /> STRUCTURE nE@UIREMENTS <br /> F07oc,p,ncyroup: L7-�J Occupancy Load:trucllon: Square Feet: ')fj00 <br /> Zoning: i_L Fire Sprinklers: Yes / o <br /> Area Separation Wall In Lieu of Sprinklers: you 1 No Heated/Cooled: Yes <br /> Before a final Inspection can be made by the Building Inspection Division,and prior to Issuance of a Certificate of Occupancy by the <br /> Building Official,APPROVAL SIGNATURES must be obtained from the agencies Indicated below. It Is the applicant's responsibility to <br /> obtain all signatures and return this form to the Building Division. Please be aware that advanced notice and a field Inspection time <br /> may be required by each agency prior to signature. If your project Is In a flood zone,the Building Division must have the Elevation <br /> Certificate properly signed before approval can be granted. NOTE: PLEASE BRING YOUR APPROVED BUILDING PLANS WHEN <br /> OBTAINING SIGNATURES ON THE CERTIFICATE OF OCCUPANCY ROUTING FORM. <br /> APPROVAL REQUIRED: <br /> ❑ DEPARTMENT OF PUBLIC WORKS DATE <br /> ENVIRONMEN HEALTH DATE <br /> i <br /> El <br /> AIR POLLUTION CONTROL DISTRICT DATE <br /> COUNTY FIRE WARDEN DATE <br /> FIRE CHIEF DATE 1 <br /> LOCAL FIRE DISTRICT: <br /> CITY OF STOCKTON FIRE DEPARTMENT DATE <br />