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SAN:IOAQUIN COMMUNITY DEVELOPMENT DEPARTMENT <br />cou�ITv ADMINISTRATIVE/CONDITIONAL��/JUgqSE PERMIT <br />Gree to ass yro ws hare. FILE NUMBER�r*i -1 �G�.3� <br />SERVICES <br />Water <br />School S¢rvice <br />Service Provider: <br />Will Serves Letter Provided <br />pistance [o <br />SCM1ooI: <br />_// <br />/�: S J✓12 tEY <br />Public � <br />Distance to <br />Fire Station: <br />3 �L � <br />2 �S <br />pistance to <br />Q <br />Public Weter: <br />Private <br />Existing Wall <br />New Well <br />Wall Replacement <br />�� <br />�/ <br />0 <br />Wastewater plapoeal <br />Services Provider: <br />Will Serve Letter Provided <br />pistance to <br />PubIIC O <br />Q <br />Public Sewer: <br />Existing Septic System <br />New Septic System <br />Sepilc System Replacement <br />Private <br />O <br />��i <br />O <br />pescriptlon of process wastewater: <br />Volume of process <br />Method of disposal: <br />If the project will result in <br />wastewater: <br />process wastewater provide <br />! //� <br />the following information: <br />/V <br />storm praln9ga <br />Service Provider. <br />Will Serve Latter Provided <br />pistance to <br />Public o <br />o <br />Public Storm <br />Drain: <br />rJ./ <br />Existing On-site Retention Pond <br />New On-site Retention Pond <br />Nature) Drelnaga <br />Private <br />o <br />p. <br />o <br />Other Public Sarvlc¢s <br />School S¢rvice <br />Fir¢ Prot¢etion Service <br />Sarvire Pro ider <br />��-E% <br />pistance [o <br />SCM1ooI: <br />_// <br />/�: S J✓12 tEY <br />Seprvice Provider <br />�pG/�j/l �/�-� <br />Distance to <br />Fire Station: <br />3 �L � <br />2 �S <br />Page 3 of 6 <br />03/26/2023 <br />