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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO.: SD- - <br /> ::<:<%'< < ' > >:'Cp:B COM'l:E'tp gY T ApPf.1A1�'PRtURT..0 iF1�i14t3'EifY�1 'UATLi <br /> fRK <br /> Owner Information II A= pV,ll`�M lnformatlon <br /> Name:GUO E LIA R N Name: <br /> RD <br /> �n� 6 <br /> Address: O NE Address: P I� ta- MIL-re <br /> S G{CQSq 5212 �.I rJ UC rJcA . q S-2zCo <br /> Phone: Phone: 4-1 <br /> .:.:.i'.i....:.:.:::.:'v<.'`.+..:.'....::.:.::....:.::.::.i.%.'.':.:i.:•.:.:::::::::::::::::......:..........................................:..................:...:.....:...:...:.:.:.:.:.:.:....:...:.:.:...........:1.:V.:.:..::.:•.: <br /> :i..•.tMiF <br /> { ' . ..::::.i: :::......:::i : ...::............ : • :::::::::: •:1 ^ ::i: . i :•:...... :::f::(:i'::.::j::'1,..:.::.::�{i:}:�:i:.j:::i:`::i:'::�{::i::::::::::::.�i::.::L::i•.::.::.:i::::.::'::::!:::::.:�:::::'::'.i.�ii::::.::�:::::::::. <br /> is ii:::;:;:::.:�:::i:.:i:•ii:i::::.i?i:!i:•i}iii:;:::v::;•i::•ii:i{•;6:::v}i?i:::i:v?:i:: <br /> ..�:.� <br /> .... :�:'1.iijiiii:(:•:ii?i ii:is:!:`iiiiiiiii:v'::'.ii: !!'+ ':':'::::.i:.:is:::..:.::is i::'::'i:� ii iii 4:.::::;5:'}i::.;•.::.::::j:;i{.y'..:?ii,? <br /> ,:,::.`':::ti :::i: :J i ii i ii:'.i:i iii::: ii+ "iiiii'%.::iii'?:iii: ..:..:.. <br /> •:4i':i iiiii:•iiii::J <br /> v:: ::::::.....::'ii:i:4:i: :..y.;.;;::: •:.:. ... ::'i::%%:'ii::i::?:.....iiiii:i::«%:.:Gi::..:y:.. <br /> �p� ............ <br /> ....:.....:::::••:..::..:.::.:::::::::. <br /> Description of the proposed project: EU CE 5IN6 f5A&Al2jf6He, 131:t3 <br /> ,,C1. 11Lc- Q52 <br /> Occupants) - Name: Age: <br /> Name: Age: <br /> Square Footage of Second Unit Dwelling: <br /> Year Mobilehome constructed (if applicable): <br /> i>s>.:;. <br /> RUf' TY ANO:... :><::>i:: ::.> i:<:::ic: i: ::;•: <br /> ::;:.;:.;:.ii:i::i <br /> Pa ....: omtat <br /> :..,....:::.:::::::::.:.:.................................:......::: ::. Y:$ ..........+oft< :: ::.:::::::::.:;::::;:::::::::::::.:::.::::::::::: <br /> Assessor gParcel Number(s) Property Size Williamson Act <br /> Contract <br /> Yes ❑No <br /> Property Address: I(p1t'� �, M�L� RD �) CS '( '11515G <br /> LAnd <br /> On-Site Uses (Include Ag Crops): w L, LAT_ G D� <br /> 1MPRt�VhANt$ANq 5 <br /> Water. : .. <br /> Service Provider Annex-Formation Distance to Public <br /> Public Water❑ Required Water (Feet) <br /> Private Water Existing Well New Well ❑ Well Replacement ❑ <br /> is <br /> > <br /> :......:>::';::;:;:;:;:;::;>:;::::iii:i>. :isisi::>. <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal❑ Required Sewer Facility <br /> On-site Sea Existing Septic System New Septic System ❑ Other ❑ <br /> Disposal; / <br /> <•::iii:9'i':^:i i•iSi:3:4i$i::::;•::iiii4::;':i:.iir::;::': '':ii ii:iiiiii:Zi :' .:::..:.......... .. .. ... <br /> Or a <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 Other ❑ <br /> Drainage <br /> i::<i:.:::..;:> .':.i;•::.........; <br /> ;;....;..;.::.:................... .. ....... ..... ......... <br /> tin :.A <::>:::<'.:.:>'>:. <:<::::::; :� ::: ::>:;>:;<:::><::>>::<::::':ii`::>:::::•:::><:><::>;<:»:>:<>: <br /> .I Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No Yes❑ No X <br /> Yes❑ No❑ Yes❑ No❑ <br /> -2- <br />