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a COMMUNITY DEVELOPMENJOAQUIN <br /> T <br /> DEPARTMENT <br /> - wSITE APPROVAL / USE PERMIT <br /> -- k OU NT1` - ... <br /> HLE NU ROM <br /> SERVICES <br /> Water <br /> Service Provider : Will Serve Letter Provided Distance to � j .� <br /> Public <br /> ❑ Public Water : fir_ <br /> Fool <br /> Existing Well New Well Well Replacement <br /> Private ❑ ❑ ❑ <br /> Wastewater Disposal <br /> ❑ <br /> Public Service Provider : Will Serve Letter Provided Distance to <br /> ❑ <br /> Public Sewer : <br /> Existing Septic System New Septic System Septic System Replacement <br /> Private ❑ 1 1, <br /> , ❑ <br /> Description of process wastewater : Volume of process Method of disposal : <br /> If the project will result in wastewater : <br /> process wastewater provideAd <br /> : <br /> the following information : � t " <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 ❑ ❑ <br /> Other Public Services <br /> School Service Fire Protection Service <br /> Service Provider Distance to 6 Servic Provider Distance to <br /> School : s - '- '=` -1 Fire Station : i <br /> .: <br /> Page 3 of 6 <br /> 081113/2021 <br />