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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SD- - <br /> .......:.:... <br /> NATU EV <br /> ;.;...•:i+i;:'4:L:i.i:{:!.<i::i%:i.i:.:�•.i........:: ..'f,.::r:4i::i::::i::.i:::G::'::..;ti:'•4i:'\:i::;.}+'.{.i. <br /> :....:.:.:...:.:...:..:,:. <br /> nul-Y THE owW alp TNS ,alV:xulWOfMMAa liJrlYuclC Jr :AaR : ?I'>acA'1toC# <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 /> ❑ 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: I certify by my signature that I have read and understand the Second Unit Dwelling Standards: <br /> Signature: ' J ��__—_ Date: —8'— <br /> Signature: <br /> Signature: DaW <br /> Signa: now <br /> Vie: Daher <br /> Sigrurdae: DaW <br /> DEVELOP'Ml!W SERV10E5 <br /> .:: <br /> 1. Zoning: A(a --40 PROPOSAL APPROVED SUBJECT TO: PROPOSAL APPROVED SUBJECT TO: ❑ <br /> 2. Project meets zoning requirements 1. Encroachment Permit ❑ 1. Sanitation Permit ❑ <br /> for both use and construction: 2. Traffic Mitigation Fees: 2. Well/pump Permit ❑ <br /> Yeses' No❑ 3. Change Noted: ❑ <br /> 3. School District Fees ❑ <br /> 4. Fire Facility Fee ❑ PROPOSAL DENIED: ❑ <br /> 5. Flood Fringe ❑ <br /> 6. Subdivision History 3. Flood Control Conditions: 4. Remarks: <br /> 7. Remarks AC <br /> -Tt�� O(LDlsti-�icf= <br /> (ZLi4. Remarks: <br /> Date: 93 By: �' l� Date: By: Date: By:` <br /> Second Unit Dwelling Address: Z37— 3 tf. At' h.l,,,— (TV F5 <br /> Z'a Z 3( i✓ <br /> -3- <br />