APPLICATION - SECOND UNIT DWELLING
<br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
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<br /> Owner>hfor�atiotl Applicarrt kdorrr�aUon
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<br /> Phone: Q / / e"g- 41;7103 3 Phone:
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<br /> Description of the proposed project:
<br /> Occupant(s) - Name: Pow C E o M R f/,4 S q
<br /> Age: 6 ff
<br /> Name: Age:
<br /> Square Footage of Second Unit Dwelling: ov
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<br /> Assessor Parcel Number(s) Property Size Williamson Act
<br /> D — D LO — O S 3 Contract
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<br /> Onsite Uses (Include Ag Crops):
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<br /> Service Provider Annex-Formatlon Distance to Public
<br /> Public Water❑ Required Water(Feet)
<br /> Private Water❑ Existing Well O New Well ❑ Well Replacement ❑
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<br /> Public Sewage Service Provider Annex-Formation Distance to Public
<br /> Disposal❑
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<br /> Disposal❑
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<br /> Public Storm Service Provider(if Public) Annex-Formation Terminal Drainage Detention-
<br /> Drainage O Required to: Retention Ponds
<br /> Private Storm On-site Retention Pond(*) ❑ Natural Drainage/No Change diOther O
<br /> Drainage❑
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<br /> Road/Street Name RO.W.Width Pavement Width Curb/Gutter Sidewalks
<br /> Yes❑ No❑ Yes❑ No❑
<br /> Yes❑ No❑ Yes❑ No❑
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