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x APPLICATION - SECOND UNIT DWELLING
<br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
<br /> FILE NO.: SD- -
<br /> Owner Information
<br /> Name: (Zl1Q�a� 1_U CA RELDS Nemec MIKE CA t 6
<br /> Address: z32 ERM A A UE . Address: 372Z LA ((T14 S�—
<br /> S N , CA 9S Z07 i RAS 537(
<br /> Phone: L20q) 157-6853 Phone: 2_0q 36-434
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<br /> Description of the proposed project: IMST-ALLATI CA1 CF AgTF6 H40M£ AS A SECo&I Q Lw a—
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<br /> Occupant(s) - Name: Ruagh3 MELDS Age: 57
<br /> Name: LLtC y R9-LDS Age: 58
<br /> Square Footage of Second Unit Dwelling: '6Z` OFT—
<br /> Year
<br /> T—Year Mobilehome constructed (f applicable): 1994
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<br /> Assessor Parcel Number(s) Property Size Williamson Act
<br /> 3—3203 PA(7LrcL 2 2.455 AciZES Contract
<br /> ❑Yes KNo
<br /> Property Address: ZtSS JN� UA•1DEN r LA 9SZ36
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<br /> On-Site Uses (Include Ag Crops): R�(DEUnAL
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<br /> Service Provider Annex-Formation Distance to Public
<br /> Public Water❑ Required Water (Feet)
<br /> Private Water Existing Well New Well ❑ Well Replacement ❑
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<br /> Public Sewage Service Provider Annex-Formation Distance to Public
<br /> Cisposal❑ Required Sewer Facility
<br /> On-site Sewage Existing Septic System ❑ New Septic System Other ❑
<br /> Disposal P
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<br /> Public Storm Service Provider('d Public) Annex-Formation Terminal Drainage Detention-
<br /> Drainage❑ Required to: Retention Ponds
<br /> Private Storm Ort-site Retention Pond(s) ❑ Natural Drainage/No Change >xj Other ❑
<br /> Drainage /\
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<br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks
<br /> Yes❑ No Yes❑ No Z
<br /> Yes❑ No❑ Yes❑ No❑
<br /> -2-
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