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o' v' +v <br /> (' A NvJ 0 A Q U I N COMMUNITY DEVELOPMENT DEPARTMENT <br /> �3SITE Ar PROVAL/ USE PERMIT <br /> COUNTY <br /> grows rows here . <br /> ' �� iFaat: <br /> FILE NUMBER : <br /> SERVICES <br /> Water <br /> Public F] Service Provider : Will Serve Letter Provided Distance to <br /> ❑ Public Water : <br /> ❑ Existing Well New Well Well Replacement <br /> Private ■ ❑ ❑ ❑ <br /> Wastewater Disposal <br /> ❑ <br /> Public Service Provider : Will Serve Letter Provided <br /> Distance to <br /> ❑ Public Sewer: <br /> Private ■ 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 /> Storm Drainage <br /> j <br /> Service Provider : Will Serve Letter Provided Distance to <br /> Public F1 ElPublic Storm <br /> Drain : <br /> ❑ <br /> Private Existing On - site Retention Pond New On - site Retention Pond Natural Drainage <br /> ■ ❑ ❑ ❑ <br /> Other Public Services <br /> School Service Fire Protection Service <br /> Service Provider Distance to Service Provider Distance to <br /> Tracy Unified School : 1 - mile South San Joaquin County Fire Authority Fire Station : 1 - mile <br /> Page 3of6 <br /> 08/13/2021 <br />