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DocuSign Envelope ID:E3D5593F-5BC1-4D54-9720 'D1746EA12 <br /> SAN A Q U N COMMUNITY DEVELOPMENT DEPARTMENT <br /> c 0U r..,-F),--- -- USE PERMIT <br /> FILE NUMBER: <br /> On-Site Parking <br /> Full-size Parking Spaces Compact Parking Spaces ADA Parking Total Parking Spaces(Number) <br /> Number) (Number) Number <br /> Existing Proposed Existing Proposed Existing Proposed Existing Proposed <br /> 8 13 0 0 0 1 8 14 <br /> SERVICES <br /> Water <br /> Public Service Provider: Will Serve Letter Provided Distance to Public Water:: <br /> ❑ ❑ <br /> Private Existing Well New Well Well Replacement <br /> ® ❑ a ❑ <br /> Wastewater Disposal <br /> Public Service Provider: Will Serve Letter Provided Distance to Public Sewer: <br /> ❑ ❑ <br /> Private Existing Septic System New Septic System Septic System Replacement <br /> ® ❑ o ❑ <br /> If the project will result in Description of process Volume of process Method of disposal: <br /> process wastewater provide the wastewater: wastewater: <br /> following information: <br /> Storm Drainage <br /> Public Service Provider: Will Serve Letter Provided Distance to Public Storm Drain: <br /> ❑ ❑ <br /> Private Existing On-site Retention Pond New On-site Retention Pond Natural Drainage <br /> E ❑ o ❑ <br /> OTHER PUBLIC SERVICES <br /> School Service Fire Protection Service <br /> Service Provider Distance to School Service Provider Distance to Fire Station <br /> Manteca Unified 3 miles Lathrop Manteca 2.3 miles <br /> Page 3 of b <br /> Updated 09101/2020 <br />