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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SD- - <br /> L11Y YHA>q fV F <br /> ......... <br /> . :......... <br /> W.Eft 4 'CNE Pfi' �tt?t .i0.lV:Xtlitt. . <br /> Ii aAdEl�i�':.Ml� : l.E�1t�t?. <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 applica ion, 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 /> S1gnahire: )/..G X_,_/ -2..1Z� Date: <br /> Slgnaaue: Draw <br /> Slgnaaue: Dow <br /> SNnature: Derw <br /> Slgnahre: DEW <br /> ......;.::... <br /> .::. ................ <br /> ..::..:.::...: ..:...::::::::..:::.:........ ..:. ...........: <br /> :: . <br /> ...,....... ......:.. <br /> Imo:.....: .... >:»....:::<:<»»»>:: ul ::::::<::: ::......:::: :: :<: ><: > EiKr >>i:>:>: <br /> o k..... . :....... ...... ..... ...:.::..:: :: ... ............... .... . . .. _ . . . <br /> ......__ _._................ ..._.. ................... ...... . ..... . ... .. ........ __........... ....... ... ,.. <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 /> t � -3- <br />