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Second Unit Dwelling Application Form <br /> �.� '~ SAN JOAQUIN COUNTY Part A <br /> COMMUNITY DEVELOPMENT DEPARTMENT <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 ,.c � - & - Owner <br /> Address Address <br /> City City <br /> .State/Zip: State/Zip: <br /> Phone: _ - > Phone : <br /> ❑ PROPERTY INFORMATION <br /> Property Address- <br /> Assessor Is <br /> ddressAssessor ' s Parcel Number (s ) <br /> Parcel Size C Llr- <br /> Current Surrounding Land Uses : North East <br /> South West <br /> ❑ OCCUPANT INFORMATION <br /> Second Unit Dwelling <br /> Occupant ( s ) : Name Age ( s ) i <br /> Relationship to Property Owner <br /> Proof of Infirmity or Age Must be Attached )nr <br /> Size of Second Unit Dwelling IL/00 <br /> Size of Mobilehome Age of Mobilehome <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 . <br /> s.?L_ tom <br /> Second Unit Dwelling -3- ( 7/89 ) <br />