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CITY OF STOCKTON <br /> COMMUNITY DEVELOPMENT DEPARTMENT — BUILDING DIVISION <br /> 345 N. EI Dorado Street • Stockton, CA 95202 • 209-937-8561 • Fax 209-937-8893 <br /> www.stocktongov.com <br /> EROSION CONTROL REQUIREMENTS <br /> PROJECT INFORMATION: <br /> Permit No. ��� � � APN: �� U (3 <br /> Address: VI U ( `+ City & Zip Code: 2d7� <br /> ScopeofWork: cz— 0(:j <br /> RESPONSIBLE PARTY: <br /> ❑ Property Owner ? Licensed Contractor ❑ Other <br /> Name:�� IN %LLL <br /> Phone No. 2 <br /> Address: C2_14g0 N.`1,i--u/ a City & Zip Code: Ubt O_g52-40 <br /> Email: NrtahuB;h�0�1 envt�/ d'ux <br /> PROPERTY OWNER If Different Than Responsible Pady): <br /> Name: n1l <br /> Address: 1K iK . it Z r 1 <br /> tE-10 <br /> Email: <br /> Acknowledgement: Ld.== � <br /> We/I, L— Q oz I , declare and acknowledge that W e/I are about to <br /> obtain a building permit for the project described above, located on the real property described <br /> above. <br /> We/I understand and acknowledge that storm water erosion control requirements apply to <br /> this construction activity which includes but is not limited to: clearing, grading, excavation <br /> and any other land disturbing activity. <br />