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rol `-`°� CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> L SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> H: < <br /> .; 1810 E. HA.ZELTON AVENUE, STOCKTON CA 95205 <br /> BUSINESS PHONE: (209)468-3124 <br /> BUSINESS HOURS: 8:A.M. TO 5:00 P.M MONDAY THROUGH FRIDAY (EXCLUDING HOLIDAYS) <br /> Permit No.:050 Ae73 APN: 1'7q-OgGt lv Contractor: <br /> Job-Site Address: 3Z671 5', S%, /LJ, `Y9 rpVA I- Use of Structure: <br /> Planning Application No: PA - <br /> OWNER <br /> A -OWNER NAME AND ADDRESS <br /> Name: 7-114 WVW t,&Y <br /> Address: S`&23 ffl&2i GVIek C.1- <br /> City: jj>/wI/0-PY Atl! State: C1 Zip: hone:() 7e- 9'PO3 <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: /4 ,g Occupancy Load: 7s-7-- <br /> Type of Construction: j/ ^/ Square Feet: /-,v Soo <br /> Zoning : 7-L Fire Sprinklers: Yesl <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 is <br /> 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 /> MOTE: PLEASE BRING YOUR APPROVED BUILDING PLANS WHEN OBTAINING SIGNATURES ON THE CERTIFICATE OF <br /> OCCUPANCY ROUTING FORM. <br /> APPROVAL REWIRED: DATE: <br /> D ORTM IFN7OF PUB WO <br /> ENVI NI _EWA/L HEALT <br /> xNTY FIRE WA <br /> 1:1 �. ? <br /> FIRE CHIEF <br /> LOCAL FIRE DISTRICT: <br /> 171 <br /> CALTRANS <br /> 171 <br /> MOUNTAIN HOUSE CSD <br /> El <br /> STOCKTON METRO AIRPORT(209)468-4700 <br /> 171 <br /> OTHER <br /> OTHER <br /> NOTE TO DEPARTMENTS LISTED ABOVE: Your signature indicates that your conditions have been met and authorize <br /> 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 /> F:18UILDING\RAN000TS\HAND0UT 072 C of C.doc(Revised 2125104) Page 1 of 2 <br />