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Y <br /> SAN JOAQUIN COUNTY <br /> `^COMMUNITY DEVELOPMENT DEPARTMENT <br /> V. <br /> ,. <br /> • ,..., �_..:•' 1810 E.HAZELTON AVE.,STOCKTON,GA 95205-6232 - <br /> �(jFaµct PHONE:209/468-3121 FAX:2091468-3163 <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. tf <br /> Minor Subdivision Application Number: )'w, -(conditions of approval are <br /> attached) <br /> Approval Required: Date: <br /> l� Department of Public Works <br /> �J Environ ental Health Dapartmerit <br /> D-z Air Pollution Control District <br /> 0 County Fire Warden <br /> ❑ Fire Chief <br /> Local Fire District: <br /> 0 City of <br /> k <br /> o Caltrans <br /> Office of Emergency Services <br /> Other gency l <br /> t� <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 /> I <br /> a <br /> t <br />