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APPLICATION - SECOND UNIT DWELLING SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT T{QN:><'::»:.....::>::::>:> >:><:..... . £ '!iikliT:.:..............................................................................................................:..:.:::.;::::: };: Owner kitforYrtatloa Applicant information Name: +, G� F Name: 6AA -}J Address: io C_z ,, 2 Address: 3 7 2 Z t:.1 Phone: .7�i- �7 Phone: O >:> :::: :. ::::.:::::•:.::::::::::......:.............................. :::.. Description of the proposed project: 'y r. h Occupant(s) - Name: ,Q%+/4.. 7111�. Age: S� Name: /�, t/:' �,f. J> Age: �9 Square Footage of Second Unit Dwelling: .................................................:::::::::::::::::::::::::::::::::.:::::::...:::::.:.:::::::.::::::::::::::::..::::::•::::::::::::::::::::::.:::::::.:::::::::::::::::::::::::::.}::::::::::::::::::....................... .......................... Yi 3Rwitlll . X. ::::.r....:.::::::::..::.::..:::::::.,•.:... Assessor Parcel Number(s) Property Size Williamson Act 7 `1 3 c Contract ❑Yes ❑No Property Address: tj .�u /? /IeAC e-1 ^ ................................................................................................................................................................... ...............................................::::::•:.::::::.::::::::........................................................................••,•[•}-4:o-»:•}x•: :ti•. ....; : :: :.:::::::..:::..::::::::::.....................................................i lE#tttr ...............................:.....:.::,................. On-Site Uses(Include Ag Crops): ...........:....:..::..............:x::::::nv:.�::::::.:F.�::�:::�.�:::::::nw:;•:.::w:::.,v:•}'v. ::v:::v:::::::{::::::.:::::::::::? ::::::.::::v:x{'v.... :•::.. .: ............. .........v...r.......... ........................................ ....r.................v:}::}.:.??•:<{{???{:.}}?:?}?:::{??:{:.:.}'::::•:::::::{•?'::::?:x: .. .. ..::.:.....:}rx:}i?:•T:??•}:4}}}}}i??i::::::::;:•i Xx {:::.{•±4;{•}¢:n}?:•}:'v:jii:{r•:i}ii:L?i::•iii:{Ji;:i'i'»>;::'??>?:Lj{<;}:i:��.;. ? .. ••.may■p■. �`y■ �ap��b�■ ��/w� ::$Y::`iiiiv::::C�::•:•i'i:::ti::•:?•}}}r::::::::..vr:.:r...:x. :.::•::.::v:n,....v...:.....}............................:.::::.::.n...n�yyi:�1/i:•11�: MiR� ::I.11�nI�:i?..:....i:,;f�............................v....................................::;?:i'}:?v:•}::v?????:<•:�:v. :.:..::....................................................... ........................................... :vv;}::::•:x;:.::.: w:::.v::::::..............^..•:.w::::::::..:•. , v....... ................w:.:v::::::::::•:::•::.:�:::::::::.vw:.v:.w:::::::::::.v::::•w:::::::.v::..:•:.•.�.::•::.�::::.�:.�:.�....•:: 4.[•.v. Service Provider Annex-Formation Distance to Public Public Water❑ Required Water (Feet) Private WaterZI Existing Well New Well ❑ Well Replacement ❑ '•?• Ey a ,:... Public Sewage Service Provider Annex-Formation Distance to Public Disposal❑ Required Sewer Facility On-site Sewage Existing Septic System ❑ New Septic System_21� Other ❑ DisposaM :....:::::::::....::::.:::::.:::::::...............::.: :...:.............:..............:........:.:::::::::::::::::...........::::::::::::::::::.::::::::::::: ;di Public Storm Service Provider (d Public) Annex-Formation Terminal Drainage Detention- Drainage❑ Required to: Retention Ponds Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Changed Other ❑ Drainage] ...........................r...r............... ............... : ,•::: ..........r.....................;:...............r........:..............................:............::::.............::^.:. xr.......... . {. . f ,{?4.:.•Yn:;.;.•}.:.{.:.:...,........;.f,.:•:?:::w.,:....f..,{n...... ...v:: ...rf. > . . . . : 4 :? . n..«...r..,....;m4r::r:.:f•,.. ::"[•:4:{!:•:?i•:?4i}x. ::w::::::::::v::.v:::w::wx:<:::;::?:r.;•... •:{.v::::.4:f.;::.v::::::�v}::v Road/Street Name RO.W.Width Pavement Width Curb/Gutter Sidewalks r �c Yes❑ No 8: Yes❑ No M Yes❑ No❑ Yea❑ No❑ -2-