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� r <br /> -ATY. OF STOCKTON� ewe <br /> _ r Service A <br /> ppllcation - <br /> Municipal Utilities Department Outside City Limits <br /> Assessor Parcel Number:, - Z�%Address of Parcel: St��r, <br /> Applicant's Nama:.Wx -7, Trr,,,,,,G/ Addr•!ss: _ 5'US 4/ <br /> Date: -5--2-00 i <br /> 0 <br /> Present Use: Proposed Use: <br /> _ Residential Number of Units _ Residential Number of Units <br /> _ Commercial _ Commercial <br /> Industrial Industrial <br /> _ Undeveloped _ Other: <br /> Other: <br /> Status of County approxal: � 74 �c � ,— 4ic, <br /> 1.� Com unity Development Department Will approval of this application require: <br /> Complies with City General Plan Yes No <br /> Does of comply W*p City General Plan Change in zoning <br /> �ytcy� ��/ Lot split <br /> Use Permit <br /> JO CARLSON, COMM UNI EVEI_OPMENT DIRECTOR <br /> BY: Date:- <br /> 2. Public Works Department/ <br /> A. Area f B nefit Fees <br /> ���� $ -�- <br /> $ <br /> $ <br /> B. Ot Fees- <br /> n <br /> ENCROACHMENT PERMIT <br /> JAM B. GIOTTONINI, PUBLIC WORKS DIRECTOR REQUIRED FOR SEWER _ <br /> LATERA NST LAT10N. <br /> BY: Date: OZ Z <br /> 3. Municipal Utilities Department <br /> A. Connection Fee / $ yy <br /> B. Other Requirements �• OVc �.cc �/ f — 'goo <br /> C. Sewer Service <br /> Approved Z.�. <br /> _ <br /> Approved, subject to: <br /> Not approved <br /> MORRIS . ALLE MUNICIPAL UTILITIES DIRECTOR <br /> BY: / / �-�` Date: 3'0� <br /> 4. To Permit Center for collection of fees and issuance of Permit <br /> Distribution: Original to applicant <br /> Copies to: Municipal Utilities, Public Works, Community Development, Finance, County Building <br />