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SAN JOAQUIN <br /> COMMUNITY DEVELuPMENT DEPARTMENT <br /> Y <br /> COT SITE APPROVAL/ USE PERMIT <br /> > - <br /> ,Fr :}- Greatness grows here . <br /> FILE NUMBER . <br /> SERVICES <br /> Water <br /> Public <br /> ❑ Service Provider : Will Serve Letter Provided <br /> Distance to <br /> ❑ Public Water: <br /> Existing Well New Well Well Replacement <br /> Private <br /> ❑ 0 ❑ <br /> Wastewater Disposal <br /> Public <br /> ❑ Service Provider : Will Serve Letter Provided <br /> Distance to <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 FE ❑ O ❑ <br /> Other Public Services <br /> School Service Fire Protection Service <br /> Service Provider Distance to Service Provider Distance to <br /> [TEracyUnified School : 1 - mile South San Joaquin County Fire Authority Fire Station : 1 - mile <br /> Page 3of6 <br /> 08/13/2021 <br />