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SAN_ JOAQUIN ._....___._ C C) iU I1 T Y...._...._..__ FILE NUMBER: � .. ,.. M,_ tet_ On -Site Parking Full-size Parking Spaces (Number) Compact Parking Spaces (Number) ADA Parking (Number) Total Parking Spaces (Number) Existing Proposed Existing Proposed Existing Proposed Existing Proposed i New On-site Retention Pond Public Private 11 Service Provider: Existing Well a ;4 - e;2- Distance to Public Water: 'veil Replacement L 11 1 If the project will result in process wastewater: wastewater provide the following I Wastewater Disposal Public SERVICES Will Serve Letter Provided _ Distance to Public Sewer: ❑ ❑ ❑ Private Existing Septic System New Septic System Septic System Replacement Water New On-site Retention Pond Public Private 11 Service Provider: Existing Well a ;4 - Will Serve Letter Provided New Well - a ___ __ - El Distance to Public Water: 'veil Replacement L 11 1 Wastewater Disposal Public Service Provider: Will Serve Letter Provided _ Distance to Public Sewer: ❑ ❑ ❑ Private Existing Septic System New Septic System Septic System Replacement ❑ New On-site Retention Pond ❑ ❑ ❑ Description of process Volume of process wastewater: Method of disposal: If the project will result in process wastewater: wastewater provide the following information: Storm Drainage Public Service Provider Will Serve Letter Provided Distance to Public Storm Drain: ❑ ❑ Private Existing On-site Retention Pond New On-site Retention Pond Natural Drainage ❑ ❑ ❑ OTHER PUBLIC SERVICES School Service Fire Protection Service Service Provider Distance to School Service Provider Distance to Fire Station Page 3 of 6 Updated 0512712020