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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO.: <br /> x< ...............................S....D..- <br /> ::::.::::: <br /> F::: ............ <br /> ' <br /> : .-.. <br /> ............ <br /> Owner Information.­­...... Applicant tnformatton <br /> Name: Name:T V1 <br /> Address: C L&Q Address <br /> Phone: Phone: <br /> C _ 1 <br /> Efr >: <br /> Description of the proposed project: (2 -Q A <br /> Occupant(s) - Name: 0 Lu li F(\ e Y 1 Age: U s J <br /> Name: Age: <br /> Square Footage of Second Unit Dwelling: <br /> Year Mobilehome constructed (if applicable): <br /> .:::...............:. .:::::::.::::::::.:.::....:...::...........:..:....:: :.:.....:.... ::.. <br /> ::<::<::::: ?<><? � .....'z»#Eris>s >» `<�s »»>'> > >�����> <br /> ....,...:.........:::::.:::::::::::::::::::::::. .......:.:..................:..:::.:::::..:.::.::.:....::: ..... <br /> : :::::::. <br /> ...............................................................................:.......................... <br /> ............................................................................. ........................... <br /> ................... <br /> :.;:.:.:....:.:.::::::::::::::::.:::..:::.:::.:.:.::.�::.�.�::: Pam <br /> Assessor Parcel Number(s) Property Size Williamson Act <br /> r� c T� Contract <br /> Cr C) I C) �l ❑Yes No <br /> Property Address: <br /> .............. ......... .............. . <br /> :)r!f b <br /> Onsite Uses (Include Ag Crops): <br /> S. <br /> :..::..:.:::.: :::.::::.:::::..:::::.:...............::::.:....... Q::: :. .. ;:.;:;;:>::>:::::::;:.:.;:.;::.:;:.;;:.;::;:.;;;:.;:.::.;;>;:.;:;.;;;:.::.;:.;:.;:.::.:...; <br /> Service Provider Annex-Formation Distance to Public <br /> Public Water❑ Required Water (Feet) <br /> Private Wat Existing Well New Well ❑ Well Replacement ❑ <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal ❑ Required Sewer Facility <br /> On-site Sewage Elisting Septic SysteNew Septic System ❑ Other ❑ <br /> Disposal ❑ lt­ <br /> :::::::::::......:.:::::::.:......::::::::..::::::::::::::::::.:::.:::::::::::. ..:.. : :::::.::::. <br /> Public Storm Service Provider(if Public) Annex-Formation Terminal Drainage Detention- <br /> Drainage❑ Required to: Retention Ponds <br /> Private Storm n-site Retention Pond(s) ❑ Natural Drainage/No Change ❑ Other ❑ <br /> Drainage❑ <br /> >ltbtip'E <br /> %: <br /> �. <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> -2- <br />