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IO <br /> N - SECOND UNIT DW ELLI <br /> N. <br /> G <br /> APPLICATCOMMUNITY DEVELOPMENT DEPART <br /> GUINCOUNFILE NUMBER SD <br /> SAN JOA <br /> &t�3NAtflN ..:.... .. <br /> IrSN :: :.::::... <br /> HppVAT <br /> ,AN 1113THUKt��t?Aq�.N"f..MAY plir� LiCIQN <br /> 0..: .:..... <br /> _ that I am (check one): ro erty(s) <br /> SIGNA�I certify under penalty of perjury orate officer) of the p P <br /> owner (owner includes partner,trustee,trustor, or corp <br /> Legal Property lication, or <br /> involved in this app <br /> lication of the property's involved in this <br /> Legal agent(attach proof of the owner's consent to the app <br /> application and have been authorized to file on their behalf., an <br /> that the foregoing application statements are true and correct. <br /> pate: <br /> Signature: ' Z, pat <br /> 11 <br /> Signature: r <br /> Date: <br /> Signature: <br /> Date: <br /> Signature: Date: <br /> Signature: <br /> Sjj FR U5E OtEGY <br /> .. . 77:EOSAL <br /> ENT SECES APPROVED SUBJECT TO: ❑ <br /> PROPOSAL APPROVED SUBJECT TO: Sanitation Permit 0 <br /> t. Zoning: 1. Encroachment Permit 132 Well'pump Permit ❑ <br /> 2. Project meets zoning requirements 2 Traffic Mitigation Fees: 3. Change Noted: ❑ <br /> for both use and construction: <br /> Yes❑ No❑ ❑ <br /> 3. School District Fees_❑ PROFCSAL DENIED: <br /> 4. Fire Facility Fee <br /> 5. Flood Fringe ❑ 4. Remarks: <br /> 6. Subdivision History 3. Flood Control Conditions: <br /> 7• Remarks <br /> 4• Remarks: <br /> Data: By: <br /> Cee By: _ By <br /> Second Unit Dwelling Address: <br />