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SA �. QQUIN COMMUNITY DEVEL-.jPMEIVT DEPARTMENT <br /> --COUNTY-- SITE APPROVAL/USE PERMIT <br /> ,j.,y;;•'- (J!`(?G t rlcss it ws herc.. <br /> FILE NUMBER: <br /> SERVICES <br /> Water <br /> ❑ Service Provider: Will Serve Letter Provided <br /> Public Distance tot <br /> ❑ <br /> Public Water: <br /> Existing Well New Well Well Replacement <br /> Private ❑ ❑ <br /> Wastewater Disposal <br /> Service Provider: Will Serve Letter Provided <br /> Public ❑ Distance to <br /> ❑ Public Sewer: <br /> Private <br /> ❑ Existing Septic System New Septic System Septic System Replacement <br /> ❑ X ❑ <br /> Description of process wastewater: Volume of process Method of disposal: <br /> If the project will result in F-r2_k,1 T" w ft--f- i Alt, w wastewater: <br /> process wastewater provideVU T�>2 i i t L y b s tri <br /> the following information: �J4,bD27 �c p� <br /> Storm Drainage <br /> Service Provider: Will Serve Letter Provided Distance to <br /> Public ❑ ElPublic Storm <br /> Drain: <br /> Existing On-site Retention Pond New On-site Retention Pond Natural Drainage <br /> Private <br /> ❑ ❑ <br /> Other Public Services <br /> School Service Fire Protection Service <br /> Service Provider Distance to Service Provider Distance to <br /> Ixfa CO School: 2 KL C11-11 of Lr n Fire Station: <br /> Page 3 of 6 <br /> 08/13/2021 <br />