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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> .............. <br /> ..................M.....ETEq;BY;7 APp CA T.PItT ff.TO.Ft :I G.7 HE:A..P.LI.CATtt7 ...... ........................... <br /> Owner;Informatioh Applicant Intoemation <br /> Name: 6ll eH 124-rZ.Tevr— Name: M C <br /> Address: 70 O D X61 e e Address: <br /> Fre,H�lti <br /> CA,,,,e 9523 f <br /> Phone: 2.O 01) Phone: <br /> . <br /> »»?>r:>:>:::>:»:.........:: :»::»:»5: >: ::»>:«:??: .I RQJ CT>b.t.5.RIPTIO:: >>>......:'>:::::<>::;.'>:::; :::......: :::' ::::: :::>..... ....:. <br /> •::..:...:................................................................:.:....:::.......: ::::::::•::•:.:::::::::::::.:....::::.:..:::::::•::::::,::::..:.........................:::....... <br /> ::::.::......:.::::.::::::::.:.:::. :...;..::::::.::::::::::::::::::.:.:.:::..::::.:::::.:::.:::.: .. <br /> :.;:.;:.;;:.;:.;:.;:.;f'to oral''s::::>:::>:>::: ::>::: >::: <br /> A <br /> Description of the proposed project: ,�; Q ! , -- cyrtent T V, Ae I <br /> io i, ort MoAetL Te, <br /> Occupant(s) - Name: ft)Ar9r.a-T X Okli STDr Age: —7/ <br /> Name: Age: <br /> Square Footage of Second Unit Dwelling: kess Twe., %Oso <br /> H a <br /> >::::>::::>:::::::>:>:<::<::>.>.:<::<:::>::»:::>:«:>::::::::::>::>::>:«: ::>::::»>::::»:::;�'f?rJPsrft7Y:AN :<Vf�l.LYY:q GRfp t fit... <::«::>>:: »«:: ::::::;: `«>::: :> <br /> ;r ;i ;;;;:: ;i !i?''iiiiiiY ii`ii ','?iiF2i:tikiisi:isisiisisiisi::i'`: :: :i:;' 5ii <br /> ...:. .::.:................ <br /> Prs ;:::................:.:..:....::::::: :.:::::::..:.:::.: <br /> Assessor Parcel Number(s) Property Size Williamson Act <br /> f' 0(oO — 09 ', 3 Contract <br /> ❑Yes )(No <br /> Property Address: 700 D v d l- Q-.J. F '� <br /> :<X.»>Eii sti'`";:Lurid.:Usha: ...:.....::<:< ?<s >;>:'.;:;;:_:: ;'<;:::;: ::....>._>:;:::>::;::::::::: <br /> 9. :. <br /> On-Site Uses (Include Ag Crops): <br /> 0° zone S LQ F�Vti,1. a we.11;n <br /> ::<I>::>:::> :::>:::<::<;:> VEMNTS ANS?SRVI <br /> <a::::g:.;:: <br /> ......... :....:.:.;.:..;.:::.;:.;:.;:. ::.::::.:.:... .:::..:. <br /> Service Provider Annex-Formation Distance to Public <br /> Public Water❑ Required Water (Feet) <br /> Private Water Existing Well X New Well ❑ Well Replacement ❑ <br /> ;DIS`09 1 <€`>#>''#`''.<`:':>€ z ? >> >z > >«> ? ' >< > ><<>> > <br /> 9..:.:....::P....::..::..:.:.:...::.:::.::::::::::::::::::.:::::::::::::::::::,::::::::,::::::.:::::::::::.:.::::::::::::::::::::::::::. <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal❑ Required Sewer Facility <br /> On-site Sew a a ftisti V Septic Byste New Septic System Other ❑ <br /> Disposal iMew Scipitc <br /> 9.................................................................................................................... <br /> Public Storm Service Provider (if Public) Annex-Formation Terminal Drainage Detention- <br /> Drainage❑ Required to: Retention Ponds <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change X Other ❑ <br /> Drainage <br /> ..::::..::..::.. <br /> Da <br /> ::::. :::::::::::::::::.::::::::::.:::::::.:::::::.:::.::::•.:::::::::::::::::•..................9................................................................................................................................. <br /> .................................................................................................................................................................................................................................................................. <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> DU()12� P-3 - / , Yes❑ No pq Yes❑ No <br /> Yes 0 No 0 Yes 0 No 0 <br />