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��� N� 0 � COMMUNITY DEVEL.�PMENT DEPARTMENT <br /> SITE APPROVAL <br /> C O U N T Y----- <br /> ;u <br /> aZfr��?:v Greatness grows here- <br /> FILE NUMBER: <br /> SERVICES <br /> Water <br /> Public Service Provider: Will Serve Letter Provided Distance to Public Water: <br /> 19/ 3aA!2 0 K�r,GO � -U ❑ A'j tj >6?4-Udred <br /> Private bsting Well New Well ell Replacement <br /> ❑ ❑ ❑ ❑ <br /> Wastewater Disposal <br /> Public Service Provider: Will Serve Letter Provided Distance to Public Sewer: <br /> ❑ ❑ <br /> Private E)asting Septic System New Septic System Septic System Replacement <br /> ❑ E!1� ❑ ❑ <br /> Storm Drainage <br /> Public Service Provider: Will Serve Letter Provided Distance to Public Storm Drain: <br /> Private E)asting On-site Retention Pond New On-site Retention Pond Natural Drainage <br /> Imo/ ❑ ❑ ❑ <br /> OTHER PUBLIC SERVICES <br /> School Service Fire Protection Service <br /> Service Provider Distance to School Service Provider Distance to Fire Station <br /> Look" uvn,L&1 1 10 � YYlok e-Lym Vie <br /> Page 3of6 <br /> Updated 0412912019 <br />