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- 4,0UIN COMMUNITY DEVELOPMENT DEPARTMENT <br /> - -; SAN JOAQUIN <br /> n �- ■ ' �`- COUNTY ADMINISTRATIVE / CONDITIONAL USE PERMIT <br /> c� crFoR�'� ` Greotness grows here . <br /> - - FILE NUMBER . <br /> SERVICES <br /> Water <br /> ❑ Service Provider: Will Serve Letter Provided <br /> Public Distance to <br /> N /A ❑ Public Water . N /A <br /> ❑ Existing Well New Well Well Replacement <br /> Private ❑ ❑ ❑ <br /> Wastewater Disposal <br /> ❑ Service Provider. Will Serve Letter Provided <br /> Public Distance to <br /> N /A ❑ Public Sewer : N /A A <br /> Private <br /> ❑ 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 N /A N /A N /A <br /> the following information : <br /> Storm Drainage <br /> Service Provider: Will Serve Letter Provided Distance to <br /> Public ❑ I / n n Public Storm N /A <br /> I V /`1 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 /> N /A School : N /A N /A Fire Station : N /A <br /> Page 3 of 6 <br />