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APPLICATION - SECOND UNIT DWELL[NG
<br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
<br /> FILE NUMBER: SD-
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<br /> SIGNATURE: I certify under penally of perjury that I am (check one):
<br /> v 13 Legal property owner(owner Includes partner,trustee,trustor,or corporate officer)of the property(s)
<br /> Involved In this application,or
<br /> DR Legal agent(attach proof of the owner's consent to the application of the property's Involved 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 /> �0 Outs: _
<br /> C� Date:
<br /> SilgnaM - Date:
<br /> Signadtre: Date:
<br /> Sfgrtatetre: Date:
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<br /> 1. Zoning: I&(J ' Z-U PROPOSAL APPROVED SUBJECT TO: PROPOSAL APPROVED SUBJECT TO: ❑
<br /> 2. Project meets zoning requirements 1. Encroachment Permit ❑ 1. Sanitation Permit p
<br /> for both use and construction: 2. Traffic Mitigation Fees: 2. Well/pump Permit p
<br /> Yes 0 No D 3. Change Noted: p
<br /> 3. School District Fees�p
<br /> 4. Fire Facility Fee
<br /> 5. Flood FringjimhL p PROPOSAL DENIED: p
<br /> e
<br /> 6. Subdivision History 3. Flood Control Conditions: 4. Remarks:
<br /> 7. Remarks
<br /> rJ G. uTu
<br /> 4, Remarks:
<br /> Date:5-7-9 _By: I J c �—ir� Date: By: Date:
<br /> By.
<br /> Second Unit Dwelling Address: ita l&(a -3 3
<br /> 1 r't-biz �
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