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Ff <br /> CITY OF STOCKTON `'o, Sewe ater ervice Application <br /> Municipal Utilities Department Outside City Limits <br /> Assessor Parcel Number: 173 Address of Parcel: <br /> Applicant's Name: PIS I " u Nr Phone: ( ) 37-q <br /> Address: Date: /--I- - <br /> Present Use: Proposed Use: <br /> _Residential Number of Units _Residential Number of Units <br /> _Commercial Commercial <br /> Industrial Industrial <br /> _Undevelope Other: <br /> _Other: Ur,���'Fe.�4�C CI — <br /> Status of County approval: <br /> 1. Community Development Department General Plan Designation <br /> _ Complies with City General Plan i f lnv_rrRIAL <br /> Does not comply with City General Plan <br /> Require annexation to the City of Stockton <br /> _Require applicant to enter into a Conditional Utility Service Agreement <br /> CiP,-D rVt i i �.�'mmnrYlgcsCK <br /> COMMUNITY DEVELOPMENT DEPARTMENT <br /> C � � f� <br /> BY: "�Ze Date: /l <br /> 2. Public Works Department <br /> A. Area of Benefit/Other Fees <br /> /Yo Av7 $ --e- <br /> $ <br /> $ <br /> B. CFD 90-1 Fees <br /> $ �-- <br /> JAMES B. GIO O N , PUBLI WORKS DIRECTOR yo /0 ENCROACHMENT PERMC <br /> REQUIRED FOR SEWER <br /> 7 -Rq L INSTALLAI ION. <br /> BY: Date: �Z O b <br /> 3. Municipal Utilities Department ((�� <br /> A. Connection Fee Z I( (� $ fU �• d l�n�neSlt <br /> B. Other Requirements <br /> C. Sewer Service <br /> Approved / <br /> Approved, subject to: <br /> Not Approved <br /> MAf tC MADISON,1+QUNI IPAL TI I S DIRECTOR <br /> Date -Z U <br /> 4. To Permit Center for collection of fees and issuance of Permit. <br /> Distribution: O ' al to licant <br /> Copies to: Munic S. <br /> Public Works, Com ev t, Fin y Building <br /> er <br />