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SCAN ) UAU U I N COMMUN Y DEVELOPMENT DEPARTMENT <br /> SITE APPROVAL <br /> FILE NUMBER: <br /> SERVICES <br /> Water <br /> Public Service Provider: Will Serve Letter Provided Distance to Public Sewer: <br /> Private Existing Well New Well Well Replacement <br /> ❑ ❑ ❑ ❑ <br /> Wastewater Disposal <br /> Public Service Provider. Will Serve Letter Provided Distance to Public Sewer: <br /> C"Stt"6 a <br /> Private Existing Septic System New Septic System Septic System Replacement <br /> ❑ ❑ ❑ ❑ <br /> Storm Drainage <br /> Public Service Provider. Will Serve Letter Provided Distance to Public Storm Drain: <br /> Vi- C�COAJ�5 El <br /> Private Existing On-site Retention Pond New On-site Retention Pond Natural Drainage <br /> ❑ ❑ ° E <br /> OTHER PUBLIC SERVICES <br /> School Service Fire Protection.Service <br /> Service Provider Distance to School r� Service Provider Distance to Fire Station <br /> Page 3 of 6 <br /> Updated 04/2912019 <br />