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CFTY: OF STOCKTON - �--� <br /> Sewer Servic ` <br /> 1•�iluhiipa] Utilities DepartmentAPPlication. _ <br /> Outside City Limits; <br /> Assessor Parcel Number: F7-2 V2 -a/ Address of Parcel: y412_ S 4-t.) �,S I <br /> Applicant's Name: F( ,u� -r�/�'G Address: jsi'7 �t, . /gf7l,(- f%jC, � U <br /> Phone: e9 ? -o e_ o - <br /> Date: u <br /> Present Uso: p Use;` <br /> Residential Number of Units Prof,_�d <br /> _-Residential __L_ Number of Units <br /> Commercial _ Commercial <br /> Irydustrial Industrial OCT 2 204 <br /> Undeveioped Other: ONMENT HEALT <br /> _ Other. <br /> PERM ITIS RVICES' <br /> Status of County approval: <br /> - i <br /> 1 . Co71unity Devefopment Department Will approval of this application require: <br /> { <br /> -Complies with City General Plan Yes No <br /> Does not comply with City General Pian Change in zoning <br /> I_�-Lcf« y , Lot split <br /> Use Permit <br /> JOHN CARLSON, COMMUNITY DEVELOPMENT DIRECTOR <br /> ate - <br /> j <br /> 2. Public Works Department _--A. Areppf Benefit Pees <br /> s <br /> 8. Other Fees <br /> JAM B. GIOTTONINI, PUBLIC WORKS DiRGCTOR SEWER• F ++TTfON E <br /> BY: date: `I �� 7�dr►Yf <br /> 3• Municipal Utilities Department f / <br /> A. Connection Fee $ � f <br /> S. Other Requirements <br /> C. Sewer Service <br /> Approved �. <br /> Approved, subiect to: <br /> Not approved <br /> .MORRIS L. ALLEN, UNICIPAL UTILITIES OiRECTOR <br /> BY: f <br /> ^--� . Date <br /> 4• To Permit Center for collection of fees and issuance at Permit <br /> Distribution: Original to applicant <br /> Copies to, Municipal Utilities, Public Works, Community Davelbpment. Finan''co, County Building <br />