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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SD- - <br /> WN <br /> f�O -T <br /> :. <br /> .... <br /> �t> AN:11U7H RlX I?Adlar�l 'IUIJ1 JCr ANt� <br /> NMAPP tCA' rO 1 ':`:< >,;:.;:>,::..:'< <br /> SIGNATURE: I certify under penalty of perjury that I am (check one): <br /> 1 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: Dale. 1 <br /> Signature: Date: <br /> Signature: Date: <br /> Signature: Date: <br /> Signature: Date: <br /> SE 0[LY <br /> DAY.... NT';! V1C PUBUC 1NUHK5 <br /> NVIRONlwiltNTii H�dI"CFi <br /> 1. Zoning:_*t_�� 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 /> YeNo❑ 3. Change Noted: ❑ <br /> 3. School District Fees <br /> 4. Fire Facility FeeK� C i PROPOSAL DENIED: ❑ <br /> 5. Flood Fringe_at <br /> 6. Subdivision History —1 3. Flood Control Conditions: 4. Remarks: <br /> 7. Remarks ` >-1_ <br /> Cor�'D o -TT <br /> r <br /> 4. Remarks: <br /> Date <br /> Date: By: Date: By: <br /> Second Unit Dwelling A dr ss: <br />