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SAN J OAQ U I N COMMUNITY DEVELOPMENT DEPARTMENT <br /> ` ----COUNTY-- SITE APPROVAL/USE PERMIT <br /> Greatness grows here. <br /> FILE NUMBER: <br /> SERVICES <br /> Water <br /> Service Provider: Will Serve Letter Provided <br /> Public ❑ w Distance to <br /> ,/� ❑ <br /> IV Public Water: <br /> Private <br /> ❑ Existing Well New Well Well Replacement <br /> ❑ ❑ ❑ <br /> Wastewater Disposal <br /> Public <br /> ❑ Service Provider: Will Serve Letter Provided <br /> A I/A ❑ Distance to <br /> I V f1 Public Sewer: <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 NSA wastewater: <br /> process wastewater provide <br /> the following information: <br /> Storm Drainage <br /> Service Provider: Will Serve Letter Provided Distance to <br /> Public ❑ NSA El Drain: Storm <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 _T <br /> N/AGalt Joint Union High School: 2.3 miles WOODBRIDGE Fire Station: 25 miles <br /> Page 3 of 6 <br /> 08!13/2021 <br />