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CITY OF STOCKTON Sewer Service Application <br /> Municipal Utilities Department Outside City Limits <br /> Assessor Parcel Number: 15-7-230--Za Address of Parcel: 3 6S- �.JT� s ,�✓c <br /> F/G,�a/F3caCyC� Address: <br /> Applicant's Name. <br /> Phone: Date: --2ZZ_OIL, _ <br /> Pr sent Use: Proposed Use: <br /> 7sidential Number of Units ✓ Residential �� Num er of Units <br /> Commercial Commercial OCT 0 2 2000 <br /> Industrial _ Industrial <br /> Undeveloped _- Other: TH <br /> ^ other. PERMIT ISERVICES <br /> Status of County approval: <br /> 1. Community Development Department Will approval of this application require: <br /> Complies with City General Plan Yes No <br /> Does not comply with City General Plan Change in zoning <br /> Lot split <br /> Use Permit <br /> JOH CARLSON, COMMU Y DEVELOPMENT DIRECTOR c� <br /> �. -Date: <br /> BY: jrl <br /> 2. Public Works Department <br /> A. Are of Benef'st Fees =ti <br /> �7 P $ <br /> $ I, <br /> $ <br /> B. Otberd'e %!? G�� D S s. <br /> !! ENCROACHNIEN''T PERMIT <br /> JAM B. GIOTTONINI, PUBLIC WORKS DIRECTOR -REQUIRED FOR SEWER <br /> LATERAL I 'STALLATION. <br /> BY: Date: 0Z Zl~1"9 <br /> 3. Municipal,Utilities Department <br /> A. Connection Fee - $ <br /> B. Other Requirements <br /> C. -Sewer Service <br /> Approved <br /> Approved, subject to: <br /> Not approved <br /> r <br /> MORRIS.U.-ALLE MUNICIPAL UTILITIES DIRECTOR <br /> �l Date: <br /> BY: i <br /> —74/ <br /> 4. To Permit Center for collection of fees and issuance of Permit <br /> Distribution: Original to applicant + <br /> unty Building <br /> Copies to: Municipal Utilities, Public Works, Community Development, Finance, Co <br />