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COMMUNITY DEVELOPMENT DEPARTMENT <br /> SAN JOAQUIN <br /> il it COUNTY SITE APPROVAL/ USE PERMIT <br /> Greatness grows herr . <br /> FILE NUMBER : <br /> SERVICES <br /> Water <br /> Public <br /> ❑ Service Provider : Will Serve Letter Provided <br /> Distance to <br /> PVT CAL WATER F1 Public Water : <br /> Private <br /> ❑ Existing Well New Well Well Replacement <br /> ❑ ❑ ❑ <br /> Wastewater Disposal <br /> Public <br /> ❑ Service Provider : Will Serve Letter Provided <br /> Distance to <br /> ESSSP El 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 ❑ PRIVATE ❑ Public 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 /> School : Fire Station : <br /> Page 3of6 <br /> 08/ 1312021 <br />