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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SD- - <br /> 77 <br /> TNS O <br /> fl I; <br /> .. ..:: <br /> >:«:: LY% Q. .'CH :P t ' t 1t AN 1U 1 H�iftlXE p AG+ N C Cdlfk FII. ANp Ap WCATrt C`1....................:..'>> <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 behalf., and <br /> that the foregoing application statements are true and correct. <br /> Signature: �J - Date: <br /> Signature: / Date:Signature: Dom: —� Z <br /> Signature: / 7 Date: <br /> Signature: Date: <br /> kE1A E <br /> N lttkilES:::>:<: ItiC lNbklCS: <br /> 1. Zoning: 146 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 Fees: 2. Well/pump Permit ❑ <br /> Yes% No❑ //-- 3. Change Noted: ❑ <br /> 3. School District Fees/moo& ❑ <br /> 4. Fire Facility Fee > ❑ PROPOSAL DENIED: ❑ <br /> 5. Flood Fringe O ❑ <br /> 6. Subdivision His ory 3. Flood Control Conditions: 4. Remarks: <br /> 7. Re rks <br /> 4. Remarks: <br /> Date*,10 4tPy: -/ Date: By: Date: By: <br /> Second Unit Dwelling Address: <br /> s <br />