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Q� spy CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> lel <br /> San Joaquin CountyCommunity Development Department <br /> I810 E. Hazelton Ave, Stockton,Ca 95205 <br /> Business Phone(209)468-3121 <br /> Permit No: BP-1400250 TPN: 019-140-40 Contractor: <br /> Job-Site Address: 18921 N ATKINS RD LODI Use of Structure: convert portion of ag storage to office,wine prod. <br /> &storage <br /> PIanning AppIication No: <br /> OWNER NAME AND ADDRESS <br /> Name: BOKISCH,MARKUS A&ELIZABETH A T <br /> Address: 18721 CHERRY RD LODI CA 95240-9302 <br /> Telephone: <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: B F-1 S-2 Occupant Load: 15 <br /> Type of Construction: Square Feet: 1500 <br /> Zoning: AG-40 Fire Sprinklers: Provided: NO Required: NO <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 <br /> is the applicant's responsibility to obtain all signatures and return this form to the Community Development Department. <br /> 1-ease-be-aware hat- dvanzed-nati-ce-and-a-fizld-inspzctiun-tim�may � fired by each agency prior o Signa re. <br /> NOTE: PLEASE BRING YOUR APPROVED BUILDING PLANS WHEN OBTAINING SIGNATURES ON THE <br /> CERTIFICATE OF OCCUPANCY ROUTING FORM. <br /> APPROVAL REQUIRED: DATE: <br /> 0 �� z t t <br /> DEP T OF PLTB IC WORKS 209-468-3000 <br /> 0 _ c-- <br /> VIRO AL HEALTH 209468-3420 <br /> CO FIRE WARD 09-468-3166 <br /> ❑ /-`� � ' <br /> FIRE CHIEF ISTRICT:CLEMENTS RURAL 209-759-3371 <br /> ❑ <br /> CALTRANS 209-948-7543 <br /> 1-1 <br /> MOUNTAIN HOUSE CSD 209-468-0327 <br /> 1-1 <br /> STOCKTON METRO AIRPORT 209-468-4700 <br /> ❑ <br /> OTHER: <br /> NOTE TO DEPARTMENTS LISTED ABOVE: Your signature indicates that your conditions have been met and <br /> authorize the Communi Develo meat De artment to complete a final inspection. <br /> Once the required signatures above are obtained, return this form to the Community Development Department. A final <br /> buidling inspection will be scheduled at your request. A final inspection will not be scheduled until this form has been <br /> completed and returned. <br /> FOR STAFF USE ONLY <br /> Approved <br /> ❑ Yes ❑ No <br /> Community Development Department Date <br />