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p, <br /> 70 <br /> Second Unit Dwelling Application Form <br /> f: <br /> •`' `'• SAN JOAQUIN COUNTY Part A <br /> �IFA*l <br /> COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 EAST HAZELTON AVENUE <br /> STOCKTON, CALIFORNIA 95205 <br /> TELEPHONE: ( 209 ) 468- 3120 <br /> (To Be Filled Out By Applicant ) <br /> Property Agent of <br /> Owner : ,IAL �'��NKEI"Z Owner : <br /> Address : q Address : <br /> City : L4DLnj City: <br /> State/Zip:- `lsZy2 State/Zip: <br /> Phone : -ela!58 Phone : <br /> ❑ PROPERTY INFORMATION <br /> Property Address 17388 /V, ��UR1CS A.n, Z_oj�l, Cf2 ...,.,2-ja/2 <br /> c. Assessor ' s Parcel Number (s ) <br /> Parcel Size <br /> Current Surrounding Land Uses : North,gG(C-gq� East y <br /> South_,q(�-_Crgogp6) West <br /> ❑ OCCUPANT INFORMATION <br /> Second Unit Dwelling <br /> Occupant ( s ) : game 'C216L _fS �� Age ( s ) 29 <br /> P <br /> Relationship to Property Owner <br /> ---P"foof of Infirmity or Age Must be Attached <br /> Size of Second Unit Dwelling F_� <br /> u. <br /> Size of Mobilehome '22 1 Ar Age of Mobilehome_,,V- VV <br /> Explain how the Second Unit Dwelling can be converted to another <br /> permitted use or removed when it is no longer occupied by a person( s ) <br /> 55 years of age or older . � �n F_ Ru/LZ FnR Ef?SEOF Mo eAJT <br /> Second Unit Dwelling - <br /> t <br /> 1 <br />