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Second Unit Dwelling Application Form <br /> +ciFda:a <br /> Part A <br /> SAN JOAQUIN COUNTY PLANNING DIVISION <br /> 1810 EAST HAZELTON AVENUE <br /> STOCKTON, CALIFORNIA 95205 <br /> TELEPHONE: ( 209 ) 468-3120 <br /> (To Be Filled Out By Applicant ) <br /> Property Agent of <br /> Owner :_FRA Nk i3oLuevi Owner : <br /> Address : �t�c1 Sn • J') Aw)C- 5 Avg Address : <br /> city:- 5 +otk 4—o n City <br /> State/Zip: Zo S State/Zip: <br /> Phone: 4k-, 5 �c� 63 Phone : <br /> ❑ PROPERTY INFORMATION <br /> Property Address : � � So - IDA OCs ,A—✓!Z2 f\/L) <br /> Assessor ' s Parcel Number (s ) ; Cj cl - 5 l O 3 <br /> Parcel Size '` S "a 0 <br /> Current Surrounding Land Uses : North _East <br /> South West <br /> ❑ OCCUPANT INFORMATION <br /> Second Unit Dwelling r <br /> Occupant( s ) : Name Nptz m a_ L- F V Q () A Age ( s ) 5 <br /> Relationship to Property Owner_ r) Au h <br /> Proof of Infirmity or Age Must be Attached_ v__R CP v-4 i t Ccs <br /> Size of Second Unit Dwelling - <br /> Size of Mobilehome )4 X L (-- Age of Mobilehome ICiG l — <br /> Explain how the Second Unit Dwelling can be converted to another <br /> permitted use or removed when it is no longer occupied by a person( s ) <br /> 55 years of age or older . (3e _ aN5 -a_Wect_ <br /> -e c.,- i b Le 12-e .n%.f V a \ _ <br /> Second Unit Dwelling -3- ( 7/89 ) <br />