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quill <br /> SAN JOAQUIN COUNTY <br /> rEi•..o. <br /> COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 E.HAZELTON AVE.,STOCKTON,CA 95205-6232 <br /> �4<)FOR PHONE:209i468-3121 FAX:209/466.3163 <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: /04 10 ll67 (conditions of approval are <br /> attached) [ P�,�e� MSP LI eel- ] <br /> Approval Required: Date. <br /> D_ t of Publir,Works <br /> Dw y�C 3. 5A!3ifal UO <br /> ( t HealthPQ96rtm t <br /> Air Pollution Control District <br /> County Fire Warden <br /> Fire Chief <br /> Local Fire District: <br /> City of <br /> I Caltrans <br /> Office of Emergency Services <br /> Other Agency <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 />