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C I I Y lit- 0 1 vt�r� 1 a 1 UUtSIC7e l;iL t i9iuw <br /> MUnic ral Utilities UeDartm+. L -------- <br /> y Address of Parcel; y-��y/i 5/ t6 <br /> ' AsEes�.�r Parcel Number. � G - �------- i-- q <br /> { Phone: ! � <br /> i Addreaot's Nam � Date: i <br /> Addross: I <br /> Proposed Use: <br /> Present Use: Residential _Number of Units <br /> Resldental Number of Units �Commerclal R <br /> -7- Commercial Industrial <br /> 7—Industriai ' Other: l <br /> _Undeveloped —" <br /> j _Other: <br /> Status of County approval: <br /> Genual Pfan Designatiap <br /> 1, Commun Development Department ft ,,,wrr�rcio <br /> Complies with City General Plan <br /> Does not comply with City General Plan <br /> Require annexation to the City of Stockton <br /> Require applicant to enter into a Conditional Uti;ity Service Agreement <br /> JAMES E. GLASER, DIRECTOR <br /> COM70 LOPMENT DEPARTMENT <br /> /44rBY: .1A_'L <br /> . oat <br /> G" <br /> 2, Public Wq�s partment <br /> A. Area%f enefit/Other Fees <br /> flop ` yo A6 sPar�ay ®ark -e2s l (so; <br /> B. CFD 90-1AS. <br /> (Fees <br /> , ACHhfE';1"r .F. ii <br /> REQUIRED FON <br /> JAPUBLIC WORKS DIRECTOR LATDate. <br /> B3. Mment •� ! "t, o b <br /> A. Connection Fee <br /> B. Other Requirements <br /> I Sewer Service <br /> • _Y-,. _Apprcved <br /> Approved, subject to: <br /> Nat Approved <br /> MRRK ADISON, MUNI IPAL UTlLITI DIRECTOR <br /> Dater <br /> BY; <br /> a. To Permit Center for collection of fees and issuance of Permit. <br /> Distribution: original to applicant <br /> Copies to: Municipal Utilities, Public Works, Community Development: Finance, County Budding <br />