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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SD-. - <br /> � . <br /> .. ................................ <br /> :,,.: <br /> ...........::::::.:::.�::::.�::.�.�:::::::::.�:::::.�::}::.�:.::::::::::.::moi:::.�:::::::::::i::::::::::.:�i:'•:i•:i•;:' v{v: x4....v .:..:........ ... <br /> •:::::.�:::::•::::•:•.�::::::.::...ti...kap.\. ..:,.. 4 rn...:...Kr....:................................................ <br /> :::.:::::::::::..::........................::..:..:N..fi:d.4;E# 1iP 'i!.t A�#.:ALU» Atl�'I'::M�lk..;.. <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: �I <br /> Signature:U Q Date: <br /> S1gnauwe: �i GLG Q D.. �— 0 <br /> Signaaue: / o-t' Daw z 0 9 3 <br /> Signature DG*K Z Q — <br /> Signature: Da1x <br /> sr : <br /> Irr >;:;::::>::::: <br /> »:::. <br /> ori± > > >' >>> >`:>:::>:::>::;:;:::: ::<:::::;::>::>;::»::' > > >»» « `j > :::::::::>:::;;::>::<::>::<::;<:<:<>:>; ::::>:::>;>::::::>:: <br /> .:....:........ <br /> .. us.i <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 /> I <br /> -3- <br />