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r <br /> CITY OF STOCKTON Conditonal Sewer/Water Service Application <br /> Municipal Utilities Department Outside City Limits <br /> Assessor Parcel Number: 145-160-12 Address of Parcel: 643 MODESTO AV, STOCKTON, CA <br /> 95203 <br /> Applicant's Name: Phone: (209)351-2121 <br /> Address: STOCKTON, CA Application Date;,. 07/23/2018 <br /> Permit ID: BP18-05878 <br /> Present Use: Proposed Use: <br /> X Residential 0 Number of Units X Residential 1 Number of Units <br /> Commercial Commercial <br /> Industrial Industrial <br /> Undeveloped Oth#r: <br /> Other: <br /> 1. Community Development Department j <br /> Planning.Division By: Jenny Liaw <br /> Does not comply with City General Plan <br /> Complies with City General Plan and Requires annexation to the City of Stockton <br /> X Complies with City General Rlan and Requires applicant to enter into a Conditional Utility Service Agreement <br /> Engineering&Transportation Planning Division By: Willie Wong <br /> A. Area of Benefit/Other Fees $ 0.00 <br /> B. CFD 90-1 Fees $ 0.00 <br /> Approved by Community Development Department Deputy Director <br /> David.Stagnaro Date: 9/18/2018 <br /> 2. Municipal Utilities Department <br /> A. Connection Fees $ 2,850.00 <br /> B. Other Requirements($635 Processing Fee, $219.46 Agreement Fee) $ 854.46 <br /> C. Admin Fees $ 99.75 <br /> D. Sewer Service <br /> X Approved <br /> Approved, subject to: <br /> Not Approved <br /> John Abrew, Municipal Utilities Director Date: 9/18/2018 <br /> 3. To Permit Center for collection of fees and issuance of Permit. <br /> 4. Local Agency Formation Commission(LAFCo) <br /> X Application Review Fee$300(payable to LAFCo) $ 300.00 <br /> —�- Approved <br /> Approved, subject to: <br /> Not Approved <br /> lv'k-James E. Glaser, Executive Officer Date: <br /> Revised:4/2016 orts//PRODUCTION/stockton/OCLServiceApplication_V2.rpt <br />