APPLICATION - DEVIATION
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<br /> Private Water df Existing Well [ New Well O Well Replacement O
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<br /> Disposal EX
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<br /> Drainage Required to: Retention Ponds
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<br /> Private storm On-ails Retention Pond(s) C7 Natural Drainage/No Change,b Other ❑
<br /> Drainage IN
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<br /> Service Provider Distance to Elam Service Provider
<br /> Distance to Fire
<br /> School Station
<br /> Galt Unified 3 miles Forest Lake 1 mile
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