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SANdOAQUIN COMMUNITY DEVELOPMENT DEPARTMENT <br /> IN COUNTY SITE APPROVAL/USE PERMIT <br /> �-q,,, Greatness grows here. <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 Q ❑ ❑ ❑ <br /> Wastewater Disposal <br /> Public <br /> ❑ Service Provider: Will Serve Letter Provided <br /> Distance to <br /> ❑ Public Sewer: <br /> Existing Septic System New Septic System Septic System Replacement <br /> Private Q ❑ ❑ ❑ <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 <br /> Drain: <br /> Existing On-site Retention Pond New On-site Retention Pond Natural Drainage <br /> Private Q E ❑ ❑ <br /> Other Public Services <br /> School Service Fire Protection Service <br /> Service Provider Distance to Service Provider Distance to <br /> Lodi Unified Sch Dist School: 10.85 Miles Woodbridge Fire Station: 12.80 miles <br /> Page 3 of 6 <br /> 08/13/2021 <br />