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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO.: SD- -2� <br /> ...................... <br /> KA <br /> '`< >r <br /> Owner.informatlort Appllcan!Infotrile�on <br /> Name:. r L,Q Q YS Name: mI�CYCI d <br /> Address: cqk '`S qr Address: q <br /> it <br /> Phone: vq Phone: <br /> ............... <br /> ............. <br /> :::..: ...................: :::::::::.::::::::::........:.:::::::::. <br /> ...........................................:.:..................... <br /> >::: <br /> ;: . <br /> Description of the proposed project: <br /> QY QST @� 0 <br /> O � � Ca✓ <br /> Occupant(s) - Name:' J ��u;;,dQ Age: d� <br /> Name: Age: <br /> Square Footage of Second Unit Dwelling: <br /> Year Mobilehome constructed (if applicable): <br /> x :.....: <br /> < i? <br /> R <br /> ::. :.. :: ;;:;:;....::.;;:;:;::: <br /> ,:.:........P ........................ ....................... <br /> Assessor Parcel Number(s) Property Size Williamson Act <br /> l — ��� Contract <br /> YCS i(o4�t,,�G t ❑Yes ®No <br /> Property Address: jt <br /> .......... <br /> _...........::...::: :::::::::::::::.._...............:...::::::.::::..::::.::._:.:::::::........................:....::::......:::::::::::::::::::. <br /> Onsite Uses (Include Ag Crops): Q @r <br /> ;::>.... <br /> :...::. <br /> ::;:,:. <br /> .......: <br /> Service Provider Annex-Formation Distance to Public <br /> Public Water❑ Required Water(Feet) <br /> Private Water 14 Existing Well 6/ New Well ❑ Well Replacement ❑ <br /> ;: [_<:: <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal❑ Required Sewer Facility <br /> On-site Sewage Existing Septic System 56 New Septic System ❑ Other ❑ <br /> Disposal X <br /> ::.::::::::.::::.r::>:::;:..::: <br /> ••,3`„oa}.t,..••r:�i2 ' >:C..`w•{ `:\n/ >»;kw:':`.K,`.:.:- .aV•.'-:iSS::: -� <br /> ::::::::::.:::::::::::::.::::::•:::::::.::.:::::•::::::.;;•:::::.:::.;;;:;::.;..;.:.::..:.:..... R :.:.:.:::::.:::::.;:.;:.;:.;;::.;:....................... <br /> Public Storm Service Provider(if Public) Annex-Formation Terminal Drainage Detention- <br /> Drainage❑ Required to: Retention Ponds <br /> L I I I I I <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change ® Other ❑ <br /> Drainage W <br /> P# ` lel! <br /> n.:: <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> ]� <br /> r 0 f Yes❑ No)>! Yes❑ No C9 <br /> Yes❑ No❑ Yes❑ No❑ <br /> -2- <br />