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SAN 1OAQUIN COMMUNITY DEVELOPMENT DEPARTMENT <br /> —COUNTY- SITE APPROVAL/USE PERMIT <br /> FILE NUMBER: <br /> SERVICES <br /> Water <br /> Public Service Provider: Will Serve Letter Provided Distance to <br /> ❑ Public Water. <br /> ❑ Existing Well New Well Well Replacement <br /> Private ❑ ❑ ❑ <br /> Wastewater Disposal <br /> Public <br /> ❑ Service Provider: Will Serve Letter Provided Distance to <br /> ❑ <br /> Public Sewer: <br /> Existing Septic System New Septi System Septic System Replacement <br /> Private El ❑ <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 n i! ❑ Public Stone <br /> ec A J 2— Drain: <br /> Existing On-site Retention Pond New On-site Retention Pond Natural Drainage <br /> Private ❑ ❑ ❑ <br /> Other Public Services <br /> School Service Fire Protection Service <br /> Service Provider Distance to Service Provider Distance to <br /> School: Fire Station: <br /> Page 3 of 6 <br /> 0811312021 <br />