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°"'" SAN JOAQUIN G,..O TY <br /> e-11 o <br /> �r `\ COMMUNITY DEVELOPMENT-DEPARTMENT <br /> 1810 E.HAZELTON AVE.,STOCKTON.CA 45205-6232 <br /> • �qtf ofi��r PHONE:209/468-3121 FAX:2091468-3163 - - - <br /> CERTIFICATE OF COMPLIANCE <br /> ROUTING FORM <br /> Before the Certificate of Compliance{s)�can be,approViad 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'signatbres and return this form to <br /> the Community Deve lopmeht,Department.' <br /> M <br /> inor'Subdivision Application Number: — 4 (conditions of apo <br /> 4royal are <br /> PP � <br /> attached) <br /> Approval'/Required: Date: <br /> Department of Public Works <br /> Environmental:Health Department 1� <br /> ❑ Air Pollution Con#rol District <br /> © County Fire Warden . <br /> ❑ Fire Chief <br /> Local Fire District: <br /> ❑ City of <br /> ❑ Caltrans <br /> i - <br /> ❑ Office of Emerg. ency Services <br /> ❑ Other Agency . <br /> F NOTETO 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 /> f <br /> I <br />