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SAN R.-JAQUIN COMMUNITY DEVELOPMENT DEPARTMENT <br /> _ ._ Cou NTY - _ ___ _ SITE APPROVAL / USE PERMIT <br /> "AiJ a ' Grectness yruvvs here . <br /> FILE NUMBER, <br /> SERVICES <br /> Water <br /> Service Provider : Will Serve Letter Provided <br /> Public ❑ Distance to <br /> ❑ Public Water : <br /> Private Existing Well New Well Well Replacement <br /> 0 ❑ ❑ <br /> Wastewater Disposal <br /> Service Provider : Will Serve Letter Provided <br /> Public ® Distance to <br /> ❑ Public Sewer: <br /> Existing Septic System New Septic System Septic System Replacement <br /> Private ❑' <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 <br /> ® Drain : <br /> Private 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 Sch Dist School : 0 . 85 Miles Woodbridge Fire Station : 2 . 80 miles <br /> Page 3 of 6 <br /> 08/ 13/ 2021 <br />