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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SD- <br /> .............. <br /> :X <br /> ............................. <br /> . ...... ... <br /> XXXXX: <br /> .. ......... <br /> .............. ............................... <br /> K -A P ATION <br /> -AU :A N MAY: N <br /> CPROPTAT .00 N K or. r ILE: 0 ....... <br /> ..Y:: A <br /> ........ .......... <br /> ............. <br /> SIGNATURE: I certify under penalty of perjury that I am (check one): <br /> Legal property owner(owner Includes partner,trustee,trustor, or corporate officer) of the property(s) <br /> Involved In this application, or <br /> 11 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 /> Signature: Date: <br /> Signature: Dale: <br /> Signature: Date. <br /> Signature: Date: <br /> Signature: Dale: <br /> ........... <br /> ........... <br /> ..................................... ........... <br /> ..........I......................... ........... <br /> ....... :XXX ....... <br /> ........................... ... .... . <br /> X.X <br /> X,................. <br /> X.x <br /> .......... <br /> P- 0 13 W 0 110NU ww:t <br /> X1 , 1 15 <br /> ..... ........... <br /> ............ <br /> 1. Zoning:_A6-1y PROPOSAL APPROVED SUBJECT TO: PROPOSAL APPROVED SUBJECT TO: <br /> 2. Project meets zoning requirements 1. Encroachment Permit [1 1. Sanitation Permit <br /> for both use and construction: 2. Traffic Mitigation Fees: 2. Well/pump Permit ❑ <br /> Yes 15 No 0 3. Change Noted: ❑ <br /> 3. School District FeesAeX—cA El <br /> 4. Fire Facility Fee ca' 0 PROPOSAL DENIED: ❑ <br /> 5. Flood Fringe e5 11 <br /> 6. Subdivision History Pt--1/ 3. Flood Control Conditions: 4. Remarks: <br /> 7. Remarks <br /> 4. Remarks: <br /> By:Date: Date: By: Date: 411117—By:ZL�1111etx--- <br /> Second Unit Dwelling Address: <br /> -3- <br />