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4J' y SAN JOAQUIN CO <br /> COMMUNITY DEVELO M NT DEPARTMENT <br /> 1810 E,HA ELTONAVE.,STOO"ON A 5205-6232 <br /> Oq> i PHONE:209/466.3121 FAX:209/46; 1 <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: t-n—L�tCN/ (conditions of approval are <br /> attached) <br /> Approval Required: Date: <br /> Department of Public Works <br /> En ental Fq De artment <br /> O Air Pollution Control District <br /> D County Fire Warden <br /> D Fire Chief <br /> Local Fire District: <br /> D City of <br /> D Caltrans <br /> F1 Office of Emergency Services <br /> Other Agency(apent j_5~cis <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 />