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SAN J O A Q U I N COMMUNITY DEVELOPMENT DEPARTMENT <br /> COUNTY SITE APPROVAL <br /> FILE NUMBER: <br /> On-Slte Parking <br /> Full-size Parking Compact Parking ADA Parking Total Parking <br /> Spaces Number Spaces Number Number Spaces Number <br /> Existing Proposed Existing Proposed Exlsting Proposed Existing Proposed <br /> 9 11 1 1 10 12 <br /> SERVICES <br /> Water <br /> Public Service Provider: Will Serve Letter Provided Distance to Public Water; <br /> ❑ ❑ <br /> Private Existing Well New Weil Well Replacement <br /> 0 E ❑ ❑ <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 /> IF D ❑ <br /> If the project will result in process Description of process Volume of process wastewater: Method of disposal: <br /> wastewater: <br /> wastewater provide the following <br /> information: D a I ry wastewaterl . See Project Description <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 /> D IN ❑ ❑ <br /> OTHER PUBLIC SERVICES <br /> School Service Fire Protection Service <br /> Service Provider Distance to School Service Provider Distance to fire Station <br /> N/A to project Collegeville Fire District G miles NW <br /> Page 3 of 6 <br /> Updated OSIM2620 <br />