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COMMUNITY DEVELOPMENT DEPARTMENT ' <br /> -SAN JOAQUIN camt_Jrte, T Y - SITE APPROVAL / USE PERMIT <br /> FILE NUMBER : <br /> SERVICES <br /> _ - - - _---- `- - - Water - -- - -- - -- - �I <br /> F1Service Provider : Will Serve Letter Provided Distance to <br /> Public <br /> Public Water : <br /> ❑ Existing I New Well Well Replacement <br /> Private ❑ ❑ <br /> Wastewater Disposal <br /> f Service Provider: Will Serve Letter Provided Distance to <br /> Public I ❑ <br /> Public Sewer: <br /> Existing Septic System New Septic System Septic System Replacement . <br /> Private } ❑ ❑ ❑ <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 -J <br /> Service Provider: Will Serve Letter Provided Distance to <br /> Public ❑ Public 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 <br /> School : Fire Station : <br /> Page 3 of 6 <br /> 013 / 13 /2021 <br />