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COMMUNITY DE LOPMENT DEPARTMENT <br /> SAN . :- JOAQUIN <br /> ADMINISTRATIVE/ ONDITIONAL USE PERMIT <br /> COUNTY <br /> IF <br /> FF <br /> FILE NUMBER : <br /> SERVICES <br /> IF <br /> . . . . <br /> Wafer <br /> _ . <br /> ❑ Service Providern Will Serve Lettr Provided Distance to <br /> Public ❑ Public Water: <br /> Existing Well New ell Well Replacement <br /> Private ❑ ❑ ❑ <br /> IF <br /> Wstewater Disposal <br /> ❑ Service <br /> rovider: Will Serve Letter Provided Distance to <br /> Public ❑ Public Sewer: <br /> ❑ Existing Septic System New Septic System . Septic System Replacement <br /> Private ❑ ❑ <br /> IF — <br /> Description Ilof process wastewater: lolume of process Method of disposalIF : <br /> If the project w 11 result in wastewater: <br /> proce1 . IFss ; I - . I titer Prq�nde <br /> the fvllow�n9:jnformatton <br /> IF : I IF <br /> s <br /> Storm Dratnag® <br /> Service Provider: Will Serve Le r Provided Distance to <br /> Public ❑ ❑ Public Storm <br /> Drain : <br /> Existing On-site Retention Pond New On-site Re bention Pond Natural Drainage <br /> Private ❑ ❑ <br /> !`r <br /> I IF IF I <br /> Other Public S®rvices <br /> 4 IF : IF School ServiiceIF 4 1 IF IF IF <br /> Fire P otect on Service <br /> Service Provider Distance to IF <br /> Service rovider Distance to <br /> School : Fire Station : <br /> �I <br /> Page 3 of 6 <br />