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SAN- J O A Q U I N COMMUNITY DEVELOPMENT DEPAAWMENT <br /> C.0L.)NIT Y­ SITE A,PPROVALIUSE PERMIT <br /> FILE NUMBER- <br /> SERVICES <br /> Water. <br /> Service Provider: Will Serve Letter Provided Distance to <br /> Public ❑ cP�L_ UJ ❑ Public Water: <br /> lac <br /> Existing Well New Weil Well Repement <br /> Private ❑ ❑ ❑ <br /> Wastewater Disposal <br /> Service Provider: Will Serve Letter Provided Distance to <br /> Public [� Public Sewer: <br /> Existing Septic System New Septic System Septic System Replacement <br /> Private ❑� ❑ ❑ <br /> Description of process wastewater: ` Volume of process Method of disposal: <br /> If the project will result in k �,� e.\,e.0_,r e,4- wastewater: <br /> process wastewater provide <br /> the following information: `1 m)cv(_ Vi A.S�X 'S k-v_k�"o%,J <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 /> Other Public Services <br /> School Service Fire Protection Service <br /> Service Provider Distance to Service Provider Distance to <br /> School: Fire Station: <br /> Page 3 of 6 <br /> oo�t3�anz� <br />