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i <br /> APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> �O BE SMP trt �f�'C�HE PP{ ' >r p El lits THE App' IP.-A <br /> ' .pwner anfarmatlon <br /> Applicant lnformatfon <br /> C Name: Lt <br /> -A'v f . _ <br /> Address: �� { <br /> Address: l? 1 U of� <br /> S - <br /> i-1 iJ Phon <br /> 14 L4 <br /> Phone: .� E+' �� <br /> Description of the proposed project: k QIt <br /> Occupant(s) - Name:\C(010 -TA5I- 00,0 Age: <br /> NameX_ A50 e0 Age: <br /> Square Footage of Second Unit Dwelling: , <br /> ....:..:.:..:�:,:.:.�. ' :...::::,::,....:....:._...a�F��Pt'1'Y'..�NI�5.;1�LC1NI71�..tti����.1�'�1:...N...:::.{.:.,..,.:._...,.::::::.:.:.:::; .,:.::...::......-..,.:.,.............. <br /> ?i?p 0+, •` fa '..,?'fi0"i:%:i%°<lti- fvi2c <br /> 3. <br /> Assessor Parcel Number(s) Property Size Williamson Act <br /> Contract <br /> Q V ❑Yes ❑No <br /> Property Address: <br /> ....:..... <br /> I= <br /> 9.Win._ <br /> On-Site Uses (Include Ag Crops): f"` <br /> .. .. <br /> SI F! igVl"M:EN75..'Ap <br /> _:. <br /> I Service Provider Annex-Formation Distance to Public <br /> Public Water❑ Required Water (Feet) <br /> l <br /> Private Wate Existing Welt New Well ❑ Well Replacement ❑ <br /> :f?2.:yii i2'..... ..... <br /> ....-if <br /> :...:. <br /> Vlf�.((y�R:: IY/ry�Q�:-:?"-:'::i:'::::i�.::{{{:{.::{:.:{.ii:i{.,::•�:�::i-i':::::::::::::.:::...,•:}::}::}}::::?:.Y.}'::.�:::::�.i:n........ <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal❑ Required Sewer Facility <br /> On-site Sew a Existing Septic System New Septic System Other ❑ <br /> Disposal <br /> ::>Sttsrm'>Dralrii� <br /> Public Storm Service Provider (if Public) Annex-Formation Terminal Drainage Detention. <br /> r•Ira inane I_l P #e-mi— P-1- <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change Other ❑ <br /> Drainage❑ <br /> 2.r.. <br /> ...........4......�:}:�}.�..:.....:..................:.:.:::..:..::.. :: <br /> Ai <br /> :1.- <br /> D <br /> i}3:................ ."' ....... <br /> ......�........................ ....... .......:.:..:::.:..:.v.:...::::r v. }.:.�}.:v;::.::•v,{.:.:::•:..i:.......:.... <br /> ...... .......::..... .............n:.v.;i:v.•:::iry rv::v:::;.v.�.:.::}-:}r-:n�:.......... .......... y r ......;;.-...�:.r:v.}::.. ::}3:. .}:i•:r,r <br /> :....... .............}..:...............................-.vn.+,y.v:rnv:: ": :.Y...... :...-..:A.::?::::::4:i:::;ti+'i•i:::......,.1.......-..... <br /> .........:::.:::.::..:.:::.::::::•:,:.:}::..:.:-r`.:.n...r....................r..............}.......i..}.:..r:.�.:�v::::lyv.:�:.�:.�:�:.. v )[•Y ::?: '.: sY:2..::.:.:�:..:•::.�...........-..{:i:L;::. <br /> Road/Stre t Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> ! 50 ., Yes❑ NoK Yes❑ N <br /> Yes❑ No in Yes❑ Not] <br /> i <br /> 4 <br />