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APPLICATION - SECOND UNIT DWELLING
<br /> SAN JOAOUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
<br /> FILE NUMBER: SD- -
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<br /> SIGNATURE: 1 certify under penalty of perjury that I am (check one):
<br /> ❑" Legal property owner(owner includes partner,trustee,trustor,or corporate officer) of the property(s)
<br /> Involved in this application,or
<br /> 01" Legal agent(attach proof of the owner's consent to the application of the property's lrrvofred In this
<br /> application and have been authorized to File on their behalf.,and
<br /> that the foregoing application statements are true and correct
<br /> SIGNATURE: l certify by my signature that I have read and understand the Second Unit Dwellina Standards-
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<br /> 1. Zoning: PROPOSAL APPROVED SUBJECT TO: PROPOSAL APPROVED SUBJECT TO: ❑
<br /> Z Project meets zoning requirements 1. Encroachment Permit ❑ 1. Sanitation Permit ❑
<br /> for both use and construction: 2 Traffic Mitigation Fees: 2 Well/pump Permit ❑
<br /> Yes❑ No❑ 3. Change Noted: ❑
<br /> 3. School District Fees ❑
<br /> 4, Fire Facility Fee ❑ PROPOSAL DENIED: ❑
<br /> 5. Flood Fringe ❑
<br /> 6. Subdivision HWory. 3. Flood Control Conditions: 4. Remarks:
<br /> 7. Remarks
<br /> 4. Remarks:
<br /> Date: By: Date: By: Date: By:
<br /> Second Unit Dwelling Address: 013`fR �OA-(Jr / VAO e3 C•AzcrJ C A q1?7 a
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