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e � <br /> kVj <br /> Second Unit Dwelling Application Form <br /> Part A <br /> SAN JOAQUIN COUNTY PLANNING DIVISION <br /> 1810 EAST HAZELTON AVENUE <br /> STOCKTON, CALIFORNIA 95205 <br /> TELEPHONE: ( 209 ) 468-3120 <br /> (To Be Filled Out By Applicant ) <br /> Property Agent of <br /> Owner : H. STANLEY THOMPSON Owner : <br /> Address : 2309 CORNERSTONE COURT Address: <br /> City: MODESTO City: <br /> State/Zip: CA, 95355 State/Zip: <br /> Phone : 209 527-6123 Phone : <br /> 209 521-8986 <br /> ❑ PROPERTY INFORMATION <br /> Property Address i 31147 E. COMBS ROAD, ESCALON, CA 95320 <br /> Assessor ' s Parcel Number (s ) 249-14-12 <br /> Parcel Size 10 ACRES <br /> Current Surrounding Land Uses : North PASTURE _East PASTURE <br /> South ALMOND ORCHARD West PASTURE <br /> ❑ OCCUPANT INFORMATION <br /> Second Unit Dwelling <br /> Occupant( s ) : Name HAROLD D. THOMPSON Age ( s ) 70 <br /> LUCILLE THOMPSON _ 65 <br /> Relationship to Property Owner_ FATHER & MOTHER <br /> BIRTH CERTIFICATE <br /> Proof of Infirmity or Age Must be Attached_ DRIVERS LICENSE <br /> Size of Second Unit Dwelling 1560 SF <br /> Size of Mobilehome Age of Mobilehome _ <br /> Explain how the Second Unit Dwelling can be converted to another <br /> permitted use or removed when it is no longer occupied by a person( s ) <br /> 55 years of age or older . WILL REMAIN AS A DWELLING FOR SOMEONE OVER 55 YEARS <br /> OF AGE. <br /> Second Unit Dwelling -3- ( 7/89 ) <br />