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COMMUNITY DEVELOPMENT DEPARTMENT <br /> 11 _ ;:�'! SARI-JOAQUI <br /> .-COUNTY----..._," <br /> SITE APPROVAL/USE PERMIT <br /> `•µ.• C ite'"" {�3 t��a �is-r . <br /> FILE NUMBER: <br /> :. .,._......_.:..._.......::::..:......................:....:._..._._:_............................ ..SERVICES . .. <br /> .. <br /> :..::...: Water <br /> .. ... .. Service Provider Letter Pro - <br /> Public...:: Distance to <br /> Will Serve vided <br /> Cou_ntry.Servlce Area.31 _ 0. . PDbIIC Water ADJACENT STREET <br /> Existing Well New Well Well Replacement <br /> Priyafe:. ._ ❑ <br /> IT <br /> Wastewater,Disposal <br /> ......° Service Provider: Will Serve Letter Provided <br /> Public Q Distance to <br /> Country Service Area 311 Public Sewer: ADJACENT STREET: <br /> ❑ „Existing Septic System' New Septic System:. Septic System Replacement.. ' <br /> —Private.. <br /> El El.❑. .... El . <br /> ....... . <br /> Description of process wastewater: Volume of process Method of disposal: •; <br /> Ifithe project will result in wastewater: - <br /> process wastewater provide <br /> the following information: - <br /> torm <br /> "SDrainage?'. <br /> .. .. _ .. . <br /> Service Provider. Vlfill Serve Letter Provided ": Distance fo" -" <br /> Public 0 Public Storm <br /> -County Service Area 31 ADJACENT STREET <br /> Drain:. ... <br /> Existing On-site Retention on : ew n-site Retention .on NaturalDrainage - <br /> Private <br /> ❑ El �.. <br /> Other Public Services <br /> School.Ssrvice Fire Protection SetviCe <br /> Service Provider Distance to. ervice Provider- Distance to <br /> Lodi School: >4mi Woodbridge-Rural Co Fire Station: <800 ft MMA <br /> Page 3 of 6 <br /> 0811312021 <br />