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' SANdOAQUIN COMMUNITY DEVELOPMENT DEPARTMENT <br /> t _COUN rY- USE PERMIT <br /> Greolncss crows lierc. <br /> FILE NUMBER: <br /> SERVICES <br /> Water <br /> Public Service Provider: Will Serve Letter Provided Distance to Public Water:: <br /> ❑ ❑ <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 /> ❑ ❑ <br /> Private Existing Septic System New Septic System Septic System Replacement <br /> C( IX ❑ ❑ <br /> If the project will result in Description of process Volume of process Method of disposal: <br /> process wastewater provide the wastewater: wastewater: <br /> following information: <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 Retention Pond Natural Drainage <br /> �I ❑ ❑ <br /> OTHER PUBLIC SERVICES <br /> School Service Fire Protection Service <br /> Service Provider Distance to School Service Provider Distance to Fire Station <br /> Lodi Unified 1.95 Miles Liberty 1.66 Miles <br /> f'a9c3of6 <br /> Updated 0011417.019 <br />