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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> :x:.::::.:::::.. ::::::.....::..:.::.::::.;;::.;.;:.;.:.;:.;:.:;.;::.;:;:.i:.:.::. <br /> FILE NUMBER: SD- - <br /> ..................................... .......................................... ..... ... ........................... <br /> ................... .............. .:..;,.:...: .:::.:..:........::.......... ...{•:•;}}iii:ti;•iii:::•i}if.�::::::n..:::.v:::r}:vn..v„v} ...:::::.�:.�:::.�.�::::.v ....n............... ............. <br /> .. : .. ;.;..:......;.;.$............�....v.:::x:::R:::::::::.�:::::•.�::....:}}.vv:;•:'•:}.vrfw:::::.:.......:::::::::::::.�:::.::�::.:.. <br /> (. .E :: ::. y :: •{ <br /> :ffTil�F.i :..Q ::177 '::tl�. ':""• .: <br /> ' ......................................::::::::::v:::::::::.::�.�:.�::::: I�An1�: I ��;II.1I��:i::::is:i::::::::j<:i:::i:::::`:::i::: <br /> SIGNATURE: I certify under penalty of perjury that I am (,;heck 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: 1 - �' Date: 4 <br /> Signature: DEW <br /> Signature: DEW <br /> Slignattre: Datec <br /> Sfgrud re: Dats: <br /> .: <br /> ::::::::::..::::::::::::::.:::.:.::.:::::.. .tiSl t7 <br /> 1. Zoning: 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 /> Yes❑ 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 <br /> 4. Remarks: <br /> Date: By: Date: By: Date: By: <br /> Second Unit Dwelling Address: <br /> -3- <br />