Laserfiche WebLink
APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO.: SD- - <br /> TO BE COMPLETED BYTHE APPLICANT PFUOFI.T'Ll .G"4EAPPLICA�OtE <br /> Owner Information- Applicant Information <br /> Name: ���)� ��� <f /�/� /✓�� / I/1/�ii(/ Name: <br /> Address: C,"'(A Address: <br /> Phone: or-All—kjZ ` '-��f 1 Phone: <br /> ........ <br /> .> <br /> :; PROJECT:DESCRIPTION <br /> F'r`< I <br /> Description of the proposed project: /(L r4o(of l�l_L I1 i r/'C01 /ll e',Cl e— /1417/L' /v l TIi' <br /> l",rl/))I)!' zG/! <br /> Occupant(s) - Name: Age: 76 <br /> Name: 'It-C/ C, I�iLC/�jit� Age: 15 <br /> Square Footage of Second Unit Dwelling: S Z' .S <br /> Year Mobilehome constructed (if applicable): <br /> PROPERTY AND VICINITY DESCRIPTION`: <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Williamson Act <br /> / �/ Contract <br /> //c #Yes ❑No <br /> Property Address: <br /> Exlr Lnd <br /> On-Situ Uses (Include Ag Crops): /�!%r ;rt /—�•L-� �' f�/� <br /> SITE IMPROVEMENTS AND SEaV1C1=S <br /> water <br /> Service Provider Annex-Formation Distance to Public <br /> Public Water❑ Required Water (Feet) <br /> Private Water Existing Well New Well ❑ Well Replacement ❑ <br /> Sew t <: <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal❑ Required Sewer Facility <br /> On-site Sewn a Existing Septic System New Septic System El Other ❑ <br /> Disposal <br /> Storm a7rgittaEge..... <br /> Public Storm Service Provider (if Public) Annex-Formation Terminal Drainage Detention- <br /> Drainage❑ Required to: Retention Ponds <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change Other ❑ <br /> Drainage ❑ <br /> >. ;>...£xFstinn Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sldewalks <br /> 'fl TG1�C-�7" j t� Yes❑ No)d Yes❑ No N <br /> Yes❑ No❑ Yes❑ No❑ <br /> -2- <br />