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SAN 10AQUIN COMMUNITY DEVELOPMENT DEPARTMENT <br /> COUNTY USE PERMIT <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: ED <br /> tter Provided Distance to Public Sewer: <br /> ❑ <br /> Private Existing Septic Systemc System Septic System Replacement <br /> ❑ ❑ ❑ <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 /> OTHER PUBLIC SERVICES <br /> School Service Fire Protection Service <br /> Service Provider Distance to School Service Provider Distance to Fire Station <br /> 3 ol ` 0 <br /> Updated 11 /25/2019 <br />