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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO.: SD- <br /> ... ............ <br /> . ........... <br /> .......... . ............. <br /> ........ . ...... <br /> ...... ........... <br /> ............ <br /> . .......... <br /> .................... .... .......... ......... <br /> ... ........... ORO <br /> ................. <br /> .......... ........ <br /> ................. ...... <br /> .............. ........ <br /> owner lw6rinaltion: <br /> .......... <br /> .... ... ..... <br /> fNa-e: <br /> A /774,- Name:/7 A-z- <br /> Address: -23 Z16f -5-, Address: <br /> 6"XI <br /> Phone: Phone: 3S <br /> ... ................. .............................. <br /> ....... . ........ <br /> ........... ... ....... <br /> .......?......... ...... <br /> ............... ....... ... <br /> ...... ..... ....... ...... <br /> ................................ .......... <br /> .......... . . .... <br /> ... ..... ................ <br /> .... .................. <br /> ... .... .......... <br /> .............. <br /> ............... <br /> ........ ...... ..XX.. ....... <br /> .................. ............... <br /> ........ .......................... .... ................. <br /> ...............................................I.......... <br /> .. ..... ........ .. ...... <br /> . ................... <br /> .............. ..... ......... <br /> Description of the proposed project: zz <br /> Occupant(s) - Name: (f A'- Age: <br /> Name: Age: 7- <br /> Square Footage of Second Unit Dwelling: <br /> Year Mobilehome constructed (if applicable): <br /> ... . . ........................ <br /> .... .............................. <br /> .............. <br /> .. .... . .... <br /> . .... .. ............. <br /> ........... <br /> ................................ ... <br /> X, <br /> EMN <br /> X... <br /> .................... ...... ... <br /> Assessor Parcel Number(s) Property Size Williamson Act <br /> -,?-70 -,-C 7 Contract <br /> Prop"Address: [3Yes ;^o <br /> . .......... <br /> ...... .. <br /> .............. <br /> ........... <br /> On-Site Uses (Include Ag Crop <br /> .......... <br /> .......... <br /> ............ <br /> .. .............. <br /> .......... <br /> SIT <br /> ............. <br /> .......... <br /> ........ ............ .... ..... <br /> ............*"*,...........,................-.............. . .......... <br /> .. .........*"*'***...... ....... <br /> . .............. ...... <br /> ............ ....... ........ .... <br /> ............. <br /> ..... ................. X5 ...... .................. . . . ............. ...... . .... .... <br /> ....... .... <br /> ... ........... <br /> X. ........ ...... .................. . ...... <br /> ............ ........ <br /> ............................ <br /> .................. ....................... <br /> .. ............... <br /> ............. <br /> ..................... <br /> ........... ........ .. <br /> Service Provider Annex-Formation Distance to Public <br /> Public Water 0 Required Water(Feet) <br /> Private Water[3 Existing Well a--- New Well E3 Well Replacement <br /> .................................. ........ <br /> .......... . ................ <br /> ............. <br /> ........ ........... ..... . ................ ... ................ ........ <br /> ............. ............ <br /> .... ......%.. .. - ......... .......::. <br /> ........... ...... "I........ <br /> .... ........ <br /> ............... .............. ....... <br /> ........... <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal[3 Required Sewer Facility <br /> On-site Sewage Existing Septic System &----New Septic System [3 Other [3 <br /> Disposal[3 <br /> ... ........ ..................... .... <br /> .. ............ <br /> ... ......... <br /> .............. ...... <br /> ...... ... <br /> ........ . ...................... <br /> ............. ..... <br /> ....... .... .................. <br /> Public Storm Service Provider Public) Annex-Formatiort Terminal Drainage Detention- <br /> Drainage 0 Required to: Retention Ponds <br /> Private Storm On-site Retention Pond(s) Natural Drainage/No Change p, Other C3 <br /> Drainage 0 <br /> ...... ........ ... <br /> . ............ ............... <br /> ............. . <br /> . .......... .??........... . <br /> .................. <br /> .......... :.1., <br /> ............. <br /> . ..... ...... <br /> . .............. <br /> ...... .... . <br /> . .............................. .............. <br /> ........................ .. ....... .................................. .. ............ . . <br /> ...... ....... <br /> ... . . ... .. ........................... <br /> ........ ......... .... <br /> .. ....... ......... .......... .................1. <br /> ........... . <br /> . ...I I ............. ....... <br /> ............. .... .. ......... ..11 ..................... <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes E3 No Yes E3 No M--" <br /> Yes 13 No 0/ Yes C3 No GF,"' <br /> -2- <br />