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r pUlry <br /> SAN JOAQUIN COUNTY <br /> �r r COMMUNITY DEVELOPMENT DEPARTMENT <br /> _ 1810 E.HAZELTON AVE..STOCKTON,CA 95205-6232 <br /> • �gt;Foµi+`r• PHONE:208/468.3121 FAX:209/468-3163 <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. <br /> ` '1 �i1 . <br /> Minor Subdivision Application Number: V�tconditions of approval are <br /> attached) <br /> Approval Required: Date <br /> Department of Public Works <br /> mental H Ith Department <br /> 11Air P lution Contr 1 District <br /> ❑ County Fire Warden <br /> Fire Chief <br /> Local Fire District: <br /> ❑ City of <br /> ❑ Caltrans <br /> ❑ Office of Emergency Services <br /> Other Agency <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 />