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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO.: SD-q3 - 13 <br /> >: >«<X <br /> OM . go A"T: <br /> P141 . 0.1i#NG'E 'PFA <br /> _. <br /> .:Owner/Information Applicant Iniormnaffo <br /> Name: od o ' O I !, t-7 mkq j�- Name: <br /> Address: ` /� c- _r Address: <br /> ��LCrr (C L Yi �> <br /> Phone ( Phone: <br /> X. <br /> ..:....... ..... <br /> :: `< 4MI7�1":{:iWi!E> ss« <:> .. iii>s `??< ' E'...................... <br /> :.:............:...:...........:. :::::::........................... <br /> Description of the proposed project: <br /> Cab y 3 <br /> Occupant(s) - Name: 17c.,,DOL."r— Z-Ma+.�l Age: + <br /> Name: H"A Cr,Zr, n.J Age: Sof <br /> Square Footage of Second Unit Dwelling: 5 <br /> Year Mobilehome constructed (rf applicable): <br /> w'•::;'is5.'•isx•.':::z:•,':z Ss:::ii::;:.......;......: ;;;;;5::; <br /> ::::>:«>::>:<: :<:<:::>:::>:»::»:»><:>:><:;: i< <>::>:»>:<<:>«:>:: tift+ ll'Tlrr;;p >ci........�E................................................:.:.::.::::.:::::.::.::::::::.:..:.. <br /> ....................................:: . M :..:........................................:.::..::.::.:::::::::::::.::::::::::.::. ::::.:,:................... .............. <br /> ::.......:::::::::::::::::::::::.........................::::::::::::::::::. <br /> xxx <br /> Assessor Parcel Number(s) Property Size Williamson Act <br /> Contract <br /> n <br /> 1 r ❑Yes 1711410 <br /> Property Address: X. X <br /> ::: ::::::..... <br /> On-Site Uses (Include Ag Crops): <br /> :.:■..�. *tt <br /> Service Provider Annex-Formation Distance to Public <br /> Public Water Required Water (Feet) <br /> Private Water❑ Existing Well ❑ New Well ❑ Well Replaceme it ❑ <br /> j <br /> %%'` <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal`? Required Sewer Facility <br /> (( <br /> On-site Sewage Existing Septic System ❑ Now Septic System ❑ Other ❑ <br /> Disposal❑ <br /> X. <br /> X. <br /> Public Storm Service Provider(if Public) Annex-Formation Terminal Drainage Detention- <br /> Drainage❑ Required to: Retention P nds <br /> �t UrJ� <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change ❑ Other ❑ <br /> Drainage❑ <br /> : : >#'• ; <br /> n..... •::::•::.•.:::.::::::. <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Cutter Sidewalks <br /> t30 Yes❑ Nov/ Yes❑ No l � <br /> x <br /> Yes❑ No 0' Yes❑ No lam <br /> -2- <br />