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SAN 10AQUIN COMMUNITY DEVELOPMENT DEPARTMENT <br /> --COUNTY SITE APPROVAL <br /> FILE NUMBER: <br /> SERVICES <br /> Water <br /> Public Service Provider: Will Serve Letter Provided Distance to Public Sewer: <br /> ❑ ❑ <br /> Priv ale Existing/Well New Well Well Replacement <br /> Ly ❑ ❑ <br /> Wastewater Disposal <br /> Public Service Provider: Will Serve Letter Provided Distance to Public Sewer: <br /> ❑ ❑ <br /> Private Existing Septic System New Septic System Septic System Replacement <br /> N1J ^LYJ/ ❑ ❑ <br /> Storm Drainage <br /> Public Service Provider: Will Serve Letter Provided Distance to Public Storm Drain: <br /> ❑ ❑ <br /> Private Existing On-site Retention Pond New On-site Rejention Pond Natural Drainage <br /> d ❑ �LvJ! ❑ <br /> OTHER PUBLIC SERVICES <br /> School Service Fire Protection Service <br /> Service Provider Distance to School Service Provider Distance to Fire Station <br /> �Tvw. cAoq ^J1 i�rlis� <br /> Page 4of9 <br />