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i <br /> CITY OF STOCKTON Conditional Sewer/Water Service Application <br /> Municipal Utilities Department Outside City Limits <br /> Assessor Parcel Number: Address of Parcel: <br /> Applicant's Name: Phone: (_) <br /> Address : Date: <br /> Present Use: Proposed Use: <br /> _Residential Number of Units _Residential Number of Units <br /> _Commercial _Commercial <br /> _Industrial _Industrial <br /> _Undeveloped _Other: <br /> Other: <br /> Status of County approval: <br /> Community Development Department <br /> 1 . Planning Division By:_ General Plan Designation <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 Utility Service Agreement <br /> Engineering & Transportation Planning Division By:_ <br /> A. Area of Benefit/Other Fees <br /> B. CFD 90-1 Fees <br /> COMMUNITY DEVELOPMENT DEPARTMENT DIRECTOR <br /> By. Date: <br /> 2. Municipal Utilities Department <br /> A. Connection Fees $ <br /> B . Other Requirements ($625 Processing Fee, $216 Agreement Fee) $ <br /> C. Sewer Service <br /> Approved <br /> Approved , subject to: <br /> Not Approved <br /> C . MEL LYTLE , PhD, MUNICIPAL UTILITIES DIRECTOR <br /> BY: Date: <br /> 3, To Permit Center for collection of fees and issuance of Permit. <br /> 4, Local Agency Formation Commission (LAFCo) Date: <br /> Application Review Fee $350 (payable to LAFCo) $ <br /> Approved <br /> Approved , subject to: <br /> Not Approved <br /> JAMES E. GLASER, EXECUTIVE OFFICER <br /> BY. Date: <br /> Original to applicant - Copies to Municipal Utilities , Public Warks, Community Development, Finance, County Building <br /> ::ODMA\GRPWISE\COS.MUD.MUD_Library: 127469.1 (Revised 3-9/2015) PDF 135651 j <br />