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Rus 09 04 03: 14p qty of StocktonPW-Permit (, 1937-0901 p. 3 <br /> CITY OF STOCKTON Sewer/Water Service Application <br /> Municipal Utilities Department Outside City Limits <br /> Assessor Parcel Number: n7a — I� yLQ— Jj Address of Parcel: c Or �� S�cG7ap„l <br /> Applicant's Name: 1 PQQr?aJ C c ! Phone: 5Q6Z <br /> Address: :ibik- ��c� Y1 r 40 4 o L�,_Date:�J <br /> Present Use: Proposed Use: <br /> Residential Number of Units Residential Number of Unts <br /> Commercial commercial <br /> _Industrial —Industrial <br /> _Undeveloped _Other: <br /> Other. <br /> Status of County approval: <br /> 1. communDevelopment Department Gen&r2I Pian Designago <br /> Compiles with City General Plan (!bvuw r 4/IL 1 N <br /> Does not comply with City General Plan <br /> `Require annexation to the City of Stockton <br /> �7Require applicant to enter Into a Conditional Utility Service Agreement <br /> JAMES E. GLASER, DIRECTOR <br /> COMM UNITY710PMENT DEPARTMENT <br /> l <br /> 2. Public Wo� apartment <br /> A. , eneftUOther <br /> Fees <br /> Ao�s �' 90 fJ6 s/anvs/cs�k -E�sf fso) s ��3saL.. � <br /> s <br /> s <br /> S. CFD 90-1 Fees <br /> _T A H M,F141 r!. <br /> JAMES B. U PUBLIC WORKS DIRECTOR REQUIRED FOR si �.1 <br /> _ LATERA 1 .,:v. <br /> BY: Date: � �T <br /> 3. M �icipal Utilities Department <br /> A. Connection Fee s • o 0 <br /> B. Other Requirements <br /> C. Sewer Service <br /> _Approved <br /> Approved, subject to: <br /> , Not Approved <br /> MARK ADISON, MUNI IPAL UTILITI DIRECTOR <br /> BY: _' <br /> 4. To Permit Center for collection of tees and Issuance of Permit. / <br /> Distibutlon: Original to applicant <br /> Copies to: Municipal Utilities, Public Works, Community Development, Finance, County Building <br />