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o� " • SAN JOAQUIN COUNTY <br /> COMMUNITY DEVELOPMENT DEPARTMENT <br /> ••..n•, , • t`z 1610 E. HAZUTON AVE.• STOCKTON• CA 95205.6232 <br /> 41i ea RT) PHONE: 299/466.3121 FAX: 209/4983163 <br /> CERTIFICATE OF COMPLIANCE <br /> ROUTING FORM <br /> Before the Certificate of Compliance(s) can be approved by <br /> the _Community Development <br /> Department, APPROVAL SIGNATURES must be obtained;from the agencles 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: PA - 13 0o 17 (conditions of approval are <br /> attached) <br /> Approval Required: Date: <br /> o Department of Public Works <br /> t? E/ ire ental He Ith Department 3 I l l <br /> ❑ /Air Pollution Control District ` C <br /> ❑ County Fire Warden <br /> ❑ Fire Chief <br /> Local Fire District: <br /> ❑ City of <br /> ❑ Caltrans <br /> ❑ Office of Emergency Services <br /> Other Agency 57jco 4 <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 /> �] �L Cr ® 1'v) ,w 3 � .Q • S S �. � Diµ. �•e ). <br /> ,e.. �. �-t...._. t� �... o •lP s 6 'e�--� ="``l—` „'-.tL�–+Q�,• __�"_-w+-_-Q�- _ <br /> 1! 5L. LV Ia 4-9lcs+. ..v..Q <br />