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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SD- - <br /> ;.:::. <br /> PW.N.I Q H(»f'Ftt1P 1 t ;+C? C::AN:;IItTCHdffii U.:A!>i>~C9i::CdIA <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: D w. j <br /> Signature: Dom: <br /> Signature: Dom: <br /> Signature: Daft: <br /> Signature: Date: <br /> . .: <br /> ............::.:: ; <br /> DiZElt� l[E <br /> >: <.>:; atT. pIG S #�U�t1CaA►bHKS..:. HaL'1 #..... .;<: <br /> �p <br /> 1. Zoning: _ T A 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 /> Yeses No❑ 3. Change Noted: ❑ <br /> 3. School District Fees 6k w- <br /> 4. Fire Facility Fee CA PROPOSAL DENIED: ❑ <br /> 5. Flood Fringe 11:140 pa <br /> 6. Subdivision 3. Flood Control Conditions: 4. Remarks: <br /> 7. Remarks -F -T-41) <br /> CST(' o <br /> 4. Remarks: <br /> Date ZB Date: By: Date: By: <br /> Second Unit Dwelling A dr ss: ��8 >� , ('V Q( -7,,- R� C �€/�t;E{ (5- <br />