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Second Unit Dwelling Application Form <br /> r; •G <br /> 0. <br /> 0. .X <br /> 00 Part Part A <br /> SAN JOAQUIN COUNTY PLANNING DIVISION <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 : n7'a11pInrnez ,4Ile, <br /> Tcyos Owner : <br /> Address : pr). R ox Address : <br /> City: )ues7 H'y/"iT City: <br /> State/Zip: r, Lj')C, State/Zip: <br /> Phone: a nA - �_4 3 - 7.r'�9'3 Phone: <br /> ❑ PROPERTY INFORMATION <br /> Property Address I/wV CKP0/Z <br /> Assessor ' s Parcel Number (s ) n S / _ yp - d 7 <br /> Parcel Size 7. ? Ar-K e S <br /> Current Surrounding Land Uses : North East <br /> South West <br /> ❑ OCCUPANT INFORMATION <br /> Second Unit Dwelling <br /> Occupant( s ) : Name , �� � ►�a 't�L! ( c �lAge ( s ) <br /> Relationship to Property Owner 07-h �ey - S i sT-e- <br /> Proof of Infirmity or Age Must be Attached <br /> Size of Second Unit Dwelling <br /> Size of Mobilehome Age of Mobilehome <br /> Explain how the Second Unit Dwelling can be converted to another <br /> permitted use or removed when it is no onger occupied by a person( s ) <br /> 55 years of age or older . w� _;.,.i,, t �,� ;��,. ✓»-�.e�/s f.. -, <br /> L <br /> .!•..c.�,�t,l�—vrY <br /> Second Unit Dwelling -3- ( 7/89 ) <br />