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• APPLICATION - SECOND UNIT DWELLI G <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPART ENT <br /> FILE NO.: SD-9 3 5- <br /> ----- ... . <br /> ............ <br /> .. ....... <br /> ............... ... .... <br /> .. . ....................... ..... X <br /> ............ <br /> P�NIT y"Mt .................... .. .... ... <br /> 5W ..... .............................. <br /> .................. ...... .. ........ ......... .......... <br /> .......... ........ <br /> Owner.Information :.'.-'.'�.Ap0llcant information <br /> Name: p C p Name: <br /> Address: 5 jl p Address: <br /> —5-3 <br /> Phone: s rPhonw. <br /> ... ...... ..... <br /> ..... ............. <br /> .............. <br /> ........... <br /> .. . ..... ... ... . <br /> ..... ... . <br /> X ............. . <br /> . .. .. ..... <br /> .............. <br /> . ...... ..... <br /> . ....... <br /> ......Mm": <br /> .......... X <br /> ....... ............ <br /> ..................... ............. <br /> ..................... <br /> ......... X. <br /> X <br /> . .... .... <br /> ......... <br /> .......... <br /> ..... ...... <br /> ... -------- <br /> Description of the proposed project: <br /> Occupant(s) - Name: 0�i/1111 Age: <br /> Name: e'—'a v Age: 7cl <br /> Square Footage of Second Unit Dwelling: <br /> Year Mobilehome constructed (H applicable): <br /> ...... . ... X <br /> ........... <br /> ... ... ........ <br /> .......................... ..... ...... <br /> .. ... . P ic <br /> ...OXXXX'... I a <br /> .............. ...... <br /> ............................... <br /> ........................... <br /> .. ....... <br /> .......... <br /> . ......... ......... ............. ..... <br /> ::: : .............. <br /> . .. ....... . <br /> ........... .... . .......... ........ <br /> .................... <br /> X­ <br /> IM . . ............................. <br /> . ............ ...... <br /> .. ....... ...... <br /> .... ............. <br /> ............ ....... <br /> .............. ...... 11 ... ............. .... <br /> ............. .. . ...... <br /> .............. ... <br /> ............. <br /> Assessor Parcel Number(s) Property Size Williamson Act <br /> Contract <br /> 0 Yes <br /> 3 <br /> Property Address: PC,/'%- Li 4A Zy111y_7_1_C114 C.N. '15-3-.7'C <br /> ................................... .... .. ....................... <br /> . . ... ........... <br /> -. . . ............ <br /> . ................................ <br /> .................................. . .... .................. <br /> -1...... ...... <br /> X <br /> ................................ <br /> . ........ ................................ <br /> ;Xx ............. ................... <br /> ............ ..................... <br /> ................... <br /> ....... ..... <br /> ........... .... <br /> .... ............................ <br /> .......... ..................... <br /> .. ....... ...I I ..... ..... .... .............. . ............... <br /> ....... . ........................ ..................... <br /> On-Site Uses (Include Ag Crops): <br /> ............... <br /> ................... ........... <br /> .... .. ... ... <br /> X <br /> .. .. . ........ ..... <br /> .... .. .. <br /> V . .... ... . .... <br /> X .... <br /> XXX....... <br /> . . .... .... ... <br /> .0 ..... .. <br /> .. .... ..... <br /> .... ..... .. .... <br /> 11 .. I ..... .. ... .. .... <br /> .......... <br /> .................. ... .. ...... ... .................. <br /> ..................... <br /> .. ......... <br /> ......... <br /> .....................*........ ........ ......... <br /> ................... :0 <br /> .. ........ X, ....... . ..... <br /> X <br /> I. ..... .............................. ............ <br /> ............ <br /> ............ .. .. <br /> ............. .... .. <br /> ............ ..... .. <br /> ..... .... <br /> ............. ...... ... . <br /> ........... ....... <br /> .... ....... <br /> ......... ......... <br /> ..... I ....... 1.1,111.1 .. .. <br /> Service Provider Annex-Formation Distance to Pjblic <br /> Public Water 0 Required Water (Feet) <br /> Private Water 0 Existing Well Q-1 Now Well 0 Well Replacement 0 <br /> I X.................................. <br /> .. .. ..... . .. <br /> ......................... <br /> ............................. <br /> ......... <br /> .. <br /> .... <br /> ..... <br /> ..... <br /> X. <br /> ......... .... <br /> Public Sewage Service Provider Annex-Formation Distance to P iblic <br /> Disposal 0 Required Sewer Faci ity, <br /> On-site Sewage Existing Septic System 0 New Septic System Q-- Other 0 <br /> Disposal 0 <br /> ........ ... <br /> ......... .: <br /> ....... . ........ <br /> ............ <br /> .. . I ............. . <br /> ............ .......... ....... <br /> ............ <br /> .- .. 11:. ........ <br /> ......... . ............ <br /> ....... ....... <br /> Public Storm Service Provider(d Public) Annex-Formation Terminal Drainage Detentio <br /> Drainage 0 Required to: Retention PTnds <br /> Private Storm On-she Retention Pond(s) 0 Natural Drainage/No Change L)-- Other :3 <br /> Drainage 0 <br /> .......... <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalk i <br /> 41gpo?r T- y Yes 13 No B— Yes[3 No 13_ <br /> Yes 13 No 0 Yes 13 No 0 <br /> -2- <br /> j7- <br />