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SAN JOAU I N COMMUNITY DEVELOPMENT DEPARTMENT <br /> Q DMINISTRATIVE ACON ® iTIONAL USE P <br /> - - - COUNTY - <br /> r% <br /> GU NTY 1 PERMIT <br /> n �! FILE NUMBER . <br /> SERVICES <br /> Water <br /> Service Provider : Will Serve Letter Provided <br /> Public ❑■ Distance to <br /> Mokelumne Acres Maintenace District ❑■ Public Water : 1 25f t <br /> ❑ <br /> Private Existing Well New Well Well Replacement <br /> ❑ ❑ ❑ <br /> Wastewater Disposal <br /> Service Provider : Will Serve Letter Provided <br /> Public ❑■ Distance to <br /> Woodbridge Sanitary District ❑■ Public Sewer : 75ft <br /> Private ElExisting 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 <br /> the following information : <br /> Storm Drainage <br /> Service Provider : Will Serve Letter Provided Distance to <br /> Public ❑■ ❑ Public Storm 75ft <br /> Mokelumne Acres Maintenace District ■ <br /> Drain : <br /> Private <br /> 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 /> Lodi Unified School : 0 . 3 miles Woodbridge Fire Fire Station : 0 . 4 miles <br /> Page 3 of 6 <br /> 03 /2812023 <br />