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REQUEST FOR NEW/CI-BANGED SEWER SERVICE <br /> WOODBRIDGE SANITARY DISTRICT <br /> 19720 BENEDICT DRIVE <br /> WOODBRIDGE,CA 95258 <br /> (209)368-0900 Fax(209)368-0554 <br /> woodbridgesdAsbcglobal net <br /> Site Information: <br /> Site Information: Contact Information: <br /> Owner: Contact Name: <br /> Address: Address: <br /> Assessors Parcel No: Phone: <br /> Lot Size (AC): Email: <br /> Zoning: Contractor Name and Phone No: <br /> Existing Sewer Service from WSD: <br /> ❑ Yes ❑ No <br /> Proposed Development Characteristics: <br /> ❑ Residential, Number of Bedrooms <br /> ❑ Commercial, Complete Below: <br /> Use Descriptions Characteristic <br /> ❑Meeting place, Religious Number of Seats <br /> ❑Meeting place, public Number of Seats <br /> ❑Hotel, motel without Number of Beds <br /> kitchenettes <br /> El Hotel, motel with kitchenettes Number of Units <br /> ❑veterinary clinic Employees Capacity <br /> El Post Office Number of Employees <br /> ❑Funeral parlor Number of Employees <br /> ❑Service station with service Number of Pumps <br /> garages <br /> ❑Service station without service Number of Pumps <br /> garages <br /> ❑Car wash, automatic bay Number of Bays <br /> ❑Car wash, self-serve bays Number of Bays <br /> ❑School, 8th grade and below Number of Students <br /> ❑High School Number of Students <br /> ❑Eating place, seating only Number of Seats <br />