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P°U'"c�z�, SAN �10AQUIN COMMUNITY DEVELOPMENT DEPARTMENT <br /> ' <br /> cou N rY SITE APPROVAL/USE PERMIT <br /> Greatness grows here, <br /> FILE NUMBER: <br /> SERVICES <br /> Water <br /> Public Service Provider: Will Serve Letter Provided Distance to <br /> A ' n ❑ <br /> ❑ <br /> I A Public Water: <br /> ❑ Existing Well New Well Well Replacement <br /> Private ❑ ❑ ❑ <br /> Wastewater Disposal <br /> Service Provider: Will Serve Letter Provided <br /> Public ❑ A' n 1:1 <br /> Distance to <br /> AI Public Sewer: <br /> Private <br /> ❑ Existing Septic System New Septic System Septic System Replacement <br /> ❑ ❑ ❑ <br /> Description of process wastewater: Volume of process Method of disposal: <br /> If the project will result in wastewater: <br /> process wastewater provide <br /> the following information: <br /> I <br /> Storm Drainage <br /> Service Provider: Will Serve Letter Provided Distance to <br /> Public ❑ ❑ Public Storm <br /> Drain: <br /> ❑ Existing On-site Retention Pond New On-site Retention Pond Natural Drainage <br /> Private ■ <br /> ❑ 0 ❑ <br /> Other Public Services <br /> School Service Fire Protection Service <br /> WServiceProvider Distance to Service Provider Distance to <br /> N School: NA Fire Station: <br /> Page 3 of 6 <br /> 08/13/2021 <br />