Laserfiche WebLink
a ' � ` ACOMMUNITYEVELOPME T DEPARTMENT'APPROVAL/USE PERMIT <br /> -- C (DUN TY - -... <br /> HLE NUMBER: <br /> SERVICES <br /> Water <br /> Service Provider: Will Serve Letter Provided Distance to � j.� <br /> Public (�, <br /> ❑ Public Water: �Tr_ <br /> Private <br /> ❑ Existing Well New Well Well Replacement <br /> ❑ ❑ ❑ <br /> Wastewater Disposal <br /> Public <br /> ❑ Service Provider: Will Serve Letter Provided Distance to <br /> ❑ <br /> 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 wastewater: <br /> process wastewater provide : <br /> the following information: <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 I�� ❑ ❑ <br /> Other Public Services <br /> School Service Fire Protection Service <br /> Service Provider Distance to 6 Servic Provider Distance to <br /> '; School: t �-}� � s - '- '=` -1 Fire Station: i <br /> Page 3 of 6 <br /> 081 t 3/2021 <br />