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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SD- - <br /> iftU Efaf tiZl�lliJt�SfQNA1 tlfi <br /> . . : <br /> ONLY THE d1NNER OF THE i'f?OP1«! f Yid AN AUYNbFt21»f1 AGl> 1�1 '1YIA1C�lI:trANt?ItPi'UCATtOIi <br /> SIGNATURE: I certify under penalty of perjury that I am (check one): <br /> Legal property owner (owner includes partner,trustee,trustor, or corporate officer) of the property(s) <br /> involved in this application, or <br /> ❑ Legal agent (attach proof of the owner's consent to the application of the property's Involved In this <br /> application and have been authorized to file on their behatf., and <br /> that the foregoing application statemants aro true and correcL <br /> SIGNATURE: I certify by my signature that I have read and understand the Second Unit Dwelling Standards: <br /> Signature;.-. fi C� i��i::C! r/ Date: C <br /> Signature: DaAx <br /> Signntwe: DaA� <br /> Signature: Do <br /> Signttbxe: Do <br /> ` :>:; <br /> STIAEF USlE ONLY... :::>:::.> <br /> . . <br /> of of sol rrr s».... Pt1f iC ww .. s i�rrx,t.I r:.rtt. .. :< <br /> _... ...... ......_.__.. .... . _._ _ _ __ _..... ...__ <br /> 1. Zoning: PROPOSAL APPROVED SUBJECT TO: PROPOSAL APPROVED SUBJECT TO: ❑ <br /> 2. Project meets zoning requirements 1. Encroachment Permit ❑ 1. Sanitation Permit ❑ <br /> for both use and construction: 2. Traffic Mitigation Feos: 2. WelVpump Permit ❑ <br /> Yes❑ No❑ 3. Change Noted: ❑ <br /> 3. School District Fees ❑ <br /> 4. Fire Facility Fee ❑ PROPOSAL DENIED: ❑ <br /> 5. Flood Fringe ❑ <br /> 6. Subdivision History 3. Flood Control Conditions: 4. Remarks: <br /> 7. Remarks_ <br /> 4. Remarks: <br /> Date: By: Date: By: Date: By: <br /> Second Unit Dwelling Address: <br /> +' -3- <br />