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SAN JOAQUIN VALLEY 1TNHNO <br /> i AV POLLIMON CONTROL DIS MCT <br /> 42M KMNAN AVRAM. SUrM 130, MODEM, CA 95356 <br /> (2119) 545-7000 <br /> AT!'EN'170N: Fn.E NUMBER <br /> To Be Filled Out By Applicant <br /> BUSINESS NAME: Van ! Be Foods rdMU <br /> SrM ADDRESS: 1400 Waterloo Read <br /> Stockton, CA 95208 <br /> Maw Check The Appropriate Hoa: <br /> Will any load bearing str u tares be t+ ? .......................... YE5 [ ] No & ! <br /> Will 260 linear feet or more of any buddigg material be disbtrbed?.... yES [ ] Np (X <br /> Will 1160 sT ane feet or more of any building material be din wrbed?....YES [ j No k <br /> Will_35 cubic feet or more of any building material be disturbed?...... yES [ } NO 6 ] <br /> For District Ure Only <br /> f I Tlrc business has been identified as being exempt fwm the requk=iew of the <br /> APCD. <br /> [ 1 The busiu= is subject to the permit realumments of the APCU. The applicant has <br /> filed a complete application with the APCD. <br /> [ ! <br /> The business has obtained the necessary permits or authorization from the APCD. <br /> 1 ! The business is NOT meeting the APCD requirrments. The building permit process <br /> MY not proceed and a Certificate of Occupancy may not be issued. <br /> ! ! The applicant shall submit an asbestos notification and survey to the APCD within <br /> Id working days prior to asbestos removal. <br /> f 1 The: building permit process may cnntirtue subjecr to the following conditions: <br /> APCD APPROVAL BY: DATE= <br /> (See reverse side ror OES requirements) <br />