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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> p�Y >:>:: <br /> :;:;::<::>::<:}:::::>::�:::<:« : ................ A�'i'.�.1tr.Rli' ir1�#. <br /> ......::..::..::..... <br /> tA�'#'. #I<Irl+E :::::.:.::.,:•f.,. ::>:::::::::: <br /> Owner <br /> ` infatYHatiott Applicant lr►formatiort .........: <br /> Name: .0 7� Name: <br /> Address: �p� ��E _ Address: <br /> 16) <br /> Phone:'_ _ ��/ Phone: <br /> .:...;:.................................................. :::::::...............:.....................:::::::::::::::�::.�:::::::::::::::�:::�::::::::::::::::::::::::::::::::::::::::}}:4:�}:�:::�:::•:iii}:ii}:::.:�::.:. ::::.::�::.:::{•}:^ii::�::�: <br /> X. <br /> :`'i:,v,'•:`'''v:��.":;:':i::::.:<�':;�:::;'}; ........ :.::.�::::::::i: "'•:::iii:}::::.y.;J::iii: :;: <br /> ......... ...................... ... .......... .:.:•. ::. <br /> ;'. <br /> :ii:;:yi;::iiiiii:i::iii•t:iiiii'i:�::i: <br /> Description of the proposed project: f <br /> Occupant(s) - Name: Z/,g/A- Age: <br /> Name: Age: <br /> Square Footage of Second Unit Dwelling: <br /> mc <br /> ::ti. >::;::::::;:y:::<;>:::i:<:ii::i::ii>i::i::i::i::iii>::i:: i::>:: zi:: <br /> ' N <br /> < <br /> ;::;•:« <br /> ..........................................................................::::.:::.:.::.::::..::::. <br /> X. <br /> Assessor Parcel Number(s) Property Size Williamson Act <br /> /5-7- Contract <br /> i <br /> X - ❑Yes ❑No <br /> Property Address: <br /> }:.i:.i:.:;.::".;:;.i•.:.:;:.i:.}:. ' : i .. ......}.i} } ....... 7 <br /> Onsite Uses (Include Ag Crops): DUB <br /> Yr'i7? !? :::>:?>..:<:i;::#r;::?::<E::;::;»:::;:;>::Ei: >;:<z<:;<::;<>;:;:;>::<:::::?:?i::. iii:<>'«< ? '' 'E<EE` ?i;`'E<`E�!'»<< >i's:<' z':�>«?< » > <br /> :<.. <br /> A. <br /> 0. <br /> Service Provider Annex-Formation Distance to Public <br /> Public Water[3'- Required Water(Feet) <br /> Private Water❑ Existing Well ❑ New Well ❑ Well Replacement O <br /> 'lI?:.:.... .......... <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal 4!1-- Required Sewer Facility <br /> On-site Sewage Existing Septic System ❑ New Septic System ❑ Other ❑ <br /> Disposal❑ <br /> : ii:ii: :i':i::ii::>::i::i::i::i::}:>:' <br /> Public Storm Service Provider('d Public) Annex-Formation Terminal Drainage Detention- <br /> Drainage or- Required to: Retention Ponds <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change ❑ Other ❑ <br /> Drainage❑ <br /> ::.............X. <br /> ....... <br /> ..:. <br /> .......................X'X........................................... :...........................::.:::........ <br /> ::::::.::::.::,....................,.::::::: <br /> ............:::.:::::::::::::::::::::... :>::�>::>: <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> 'a Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> -2- <br />