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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SD- - <br /> ........................................................................ <br /> tixx <br /> l'�dN <br /> ff�l�tA. <br /> . ....:.I�!4 0WN fi;A:l, H : i' i�Ct Vit: <br /> W.. 'A tt t?:AGt>" <br /> 114T. Y 3�L::ANV..: aCiM1'tEt lSl .;: <br /> SIGNATURE: I certify under penalty of perjury that I am (check one): <br /> 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 /> r <br /> application and have been authorized to file on their behalf., and <br /> that the foregoing application statements are true and correct- <br /> SIGNATURE: <br /> orrectSIGNATURE: I certify by my signature that I have read and understand the Second Unit Dwelling Standards: <br /> Sigrudwe: Date: <br /> Signature: /l,cc. Daw <br /> SignaUne: Daw L/31 <br /> • D.� j�3( 5 <br /> Data <br /> � <br /> 1. Zoning: 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 /> Yes❑ No❑ 3. Change Noted: ❑ <br /> 3. School District Fees ❑ <br /> 4. Fire Facility Fee ❑ PROPOSAL DENIED: ❑ <br /> 5. Flood Fringe ❑ <br /> 6. Subdivision History 3. Flood Control Conditions: 4. Remarks: <br /> 7. Remarks <br /> 4. Remarks: <br /> Date: By: Date: By: Date: By: <br /> Second Unit Dwelling Address: <br /> -3- <br />