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APPLICATION - SECOND UNIT DWELLING SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT :THE A :'::.::::::::::: Owner Mforrnatlor ''Itppfloaint Mtorrnstlort Name: Name: Address: 1-137Y E F, w re'5 Address: E5,C4'10 (7532-0 Phone: $38- Z00.7 Phone: .:::.::.i:::i::::::j:.::::::i:.::r::,r,...,.:.::::::.::.::.::::::.ix?•}:i::.Y:.:?.:::i:.ti.:.:.ii::.::::::::::::t!.}:. ..}.........::..Y:. ... ......... ....................... .::.......::::::.:::::.............................:.:::::::::::.pR#�Ji1�CT:0ES CA IRMN ., .r.�:. . ........................................................................................................................ 4.> ,,:..4..,.:::::.. ................................................... � :. ::::::.v:.v...v..v.v....::: > .....................• ^:•}}:•i:b;;;# t:di :.v::::::::4::::\�::}:::::: ............................ Description of the proposed project: O 1'1 oo,0 rywoite hcow fia be C.ts_c( rj Occupant(s) - Name: E j I ZabeM Advni v)Sk I Age: (o p Name: Age: Square Footage of Second Unit Dwelling: ©� }:::` :':'::s?:::::::::::;f:>%:::::::::: :::::: ::::':2':2:::::::::si:$::>::::::' :::::#:<:::: i::::::::::;:;:;;;:::::;::::;:::;::r<i'Sii :::;::i5::;:::;:;;:Y:.};»>}};:}::.;>}:.}}}}::.Y:4}>}:.;:.;>:•:}:.}Y}Y: ..:.........::.YY}:•}•{4:}i}:::+•}:4}:'{4:tY.;..2•:ti}:?.i':•iiii i:4ii>}ii;:::;......:..w:::;;, .:._ .................................. ............................,.....:.:.... :p.. �J ::4:::nvY;:y::.w:::.v:::;;:;:•.v v::;:.:::.v.4:. 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Assessor Parcel Number(s) Property Size Williamson-Act Contract ;-0- -` Z-` 0 -SZ 664'x i 32.7' ores ',Yes ❑No Property Address: �,[ 3 7 y E C-Zj"t�S 9I ESCg10`1 CA 953ZO ...................................................................... �y 8hv :<S\:+L:iiii:;YYY}:4:W:•}:4:•:{0i}y}x;G:Zvii::{i:iiii:i:>:'v?•:r?.};}4h}.•. .:........:.........:..+.:•:::::::::::::::n':::::::::::::::::::::::::.::}:•}:vii:4iY:•i:vY: :i4}: ......... ...........:::: On-She Uses(Include Ag Crops): 1�� '� ICQQnce ................................. D x <:< {.h ..: {:..... v:r}•• :i•Yi{ $i} ................ 4:;?nii}YiiYiY}i}Y}}:};}ii}i}YY:L4:4i:{:j::ii2iiiijiiiL:i: .............. v .i.{Ri.'.ii. ,.;:•Y:•Y:v2•;44•Y , .Yr ii �2ifif 'r:�'ti: �::;#•.;•:;:{i{y'>:;;}}•:�i:::::::;i2i'i•�i:::%�i:::�:<''<'2:: ..............................................::.::::.�::.}::•Y:4}:.;::.�?:<.}}}::4':.�:.}}:•}};}Y;•Y:.;.}•._:4>:::;Yx.�:::???:.;}}:�Y:.Y}:�::{.;Y::..;:.,,•::::?:<.:;•:•}+YYYY:t r}2 :i'•`:.':•}.•::• Service Provider Annex-Formatlon Distance to Public Public Water❑ Required Water(Feet) Private Water Existing Well 72( New Well ❑ Well Replacement ❑ •v•�Sikiiiii:?.?i:::::::`:'::'j:::::':":C?!:"}i'��:jvi:>.ii;: ?.>`v5' �:is 4....r.. ............. •'•.........••.......:::::::::'.}}'4i:::.}:t?4'v'::4:i.:4Y.}v::::4}}}};;•i}:J}}}}x2•}}:?4}YY'•}x4}}}}}Y}i} ily Public Sewage Service Provider Annex-Formation Distance to Public Disposal❑ Required Sewer Facility On-site Sewage Existing Septic System � New Septic System A< Other ❑ �t� C Disposar rie for M-N. .... '::.}:YY•..:....... r.:.;;.;......,.,;?i'{iiii:�i":G4ii;:iiil:i<;'::.}}}:�>: ........ ..... ......:.:.:::. :::.::v,:•:::::::;, :::::::....:::::::...::}..n...;w..:...::•v.....+v.ti;4}Y:4::+.tx•}:2•Y:?{b:ti+?:•:•.{•v. ............... Public Storm Service Provider(if Public) Annex-Formation Terminal Drainage Detention- Drainage❑ Required to: Retention Ponds Private Storm On-site Retention Pond(s) ❑ N,%tural Drainaae/No Changs P( Other ❑ Drainage ...........................................::::::::::::::.:::::::::.::.:::.........::::::::.::•.:::::::.::.::•:::::::......,•:::::::....... Xx ... :Y:::fi:i:ri>:>::;s<>:r:%3«iii:•. ...::::.:::::::...... r.... .. ...... :<L:i:.:v}Y}i?}}::::::ii::::::::::::;::::::•:::::::::::%::::::::•:v}:•}:':i4}Yx24}}Y:4:?•}}:•x'}iY}:v:4:4}i}:4:•i:•}}}}:•: •:.vx:rw:::x:::•.v.:i.. ............................................. ...........................:......;:.......................::::. Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks FV Yes❑ No)C Yes❑ No l!t/ Yes❑ No❑ Yes❑ No❑ -2-