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r <br /> COMMUNITY DEVELOPMENT DE <br /> SAN 10AQUIN DEPARTMENT <br /> V-1—­ ---- COUNTY <br /> Greatness grows her. <br /> FILE NUMBER: <br /> SERVICES <br /> Water <br /> Public Service Provider: Will Serve Letter Provided Distance to Public Water: <br /> ElNot Applicable 1:1 <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 /> ❑ Not Applicable ❑ <br /> Private Existing Septic System New Septic System Septic System Replacement <br /> ❑ ❑ ❑ ❑ <br /> Description of process Volume of process wastewater: Method of disposal: <br /> If the project will result in process wastewater: <br /> wastewater provide the following <br /> information: Not Applicable <br /> Stone Drainage <br /> Public Service Provider: Will Serve Letter Provided Distance to Public Storm Drain: <br /> ❑ Not Applicable ❑ <br /> Private Existing On-site Retention Pond New On-site Retention Pond Natural Drainage <br /> ❑ ❑ ❑ ❑ <br /> OTHER PUBLIC SERVICES <br /> School Service Fire Protection Service <br /> Service Provider Distance to School Service Provider Distance to Fire Station <br /> Not Applicable Waterloo Marada 3.7 Mi. <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> No Revisions Yes ❑ No❑ Yes ❑ No ❑ <br /> Yes ❑ No❑ Yes ❑ No ❑ <br /> Page 2 of 4 <br /> Updated 08/22/2019 <br />