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FIRE ACCESS ROAD APPROVAL <br /> Fire District: TRACY RURAL <br /> Owner or Applicant: PETLANSKY,JOHN M TR ETAL Phone: ( A 51-3 <br /> Situs address of project: 31411 S KASSON RD TRAC Cross street: DURHAM FERRY <br /> Assessor Parcel Number: 25534001 <br /> Permit Number: BP-0300138 PENDING <br /> F-1 <br /> The Fire District accepts the existing fire access road. <br /> The Fire District accepts the new fire access road. <br /> The Fire District accepts the fire access road based on the following conditions: <br /> When there are conditions the appl icant has met,or will do at a later time in the project,those specific conditions need to be stated on this form. <br /> This form will become a part ofthe Building Permit. <br /> i <br /> The fire district does not accept the fire access road. <br /> ❑ The fire district does not accept the fire access road, but will allow construction to <br /> continue as described below: <br /> Please return this form to the Fire Services Division ofthe Community Development Department at 1810 E Hazelton Ave. <br /> Stockton,CA 95205 as soon as possible. If there are questions regarding the form or the fire access road please call <br /> Steve Dalton at 209468-2229.A copy of this form may be faxed to 468-3163,but the original must be on file with the <br /> Building Permit. <br /> (Signature and Title) (Date) <br /> Fire/Fire Roads/Fire District Approval.doc <br />