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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ::: <br /> .... <br /> VLR (72P4 <br /> F9kd0Fn41fi0n <br /> ownet <br /> Applicant:kdrmatkmName: ( ' Name: ' <br /> Address: C Address: S U <br /> PC) Ci <br /> Phone: -� _ (C L Phone zo <br /> Description of the proposed project: SG W <br /> Occupant(s) - Name: i , L-- Age. -74 <br /> Name: Age: <br /> Square Footage of Second Unit Dwelling: <br /> AD. . <br /> ................:.::::::..........................................................................:........................ <br /> ..............................................................................:............................. <br /> :.:::... <br /> Assessor Parcel Number(s) Property Sae Williamson Act <br /> r _ J �_. Contract <br /> ❑Yes ❑No <br /> Property Address: t„p Z <br /> "« . <br /> ' { ` ........ �''�:`'''''<`?< <br /> ....................... <br /> ............................................................................................................................. <br /> ............................................................................................................................ <br /> ..... ....;:;:i:;:::>:<:>::»»»::»»»>::>::»::>::>:<»:<:::::::>::::::>:::>:::::»>::»»>iii:>:>:»::>:::::;;:;>:::::•:::•:::•: <br /> ..:y� <br /> Onsite Uses (Include Ag Crops): <br /> :::<::::::::::<::<: �g+� t� <br /> . Ti. 3333'%' E `"•:•..••:..'[ r ? + ..... »`"�< ��' <br /> Service Provider Annex-Formation Distance to Public <br /> Public Water❑ Required Water(Feet) <br /> Private Water Existing Well New Well ❑ Well Replacement ❑ <br /> .....................:.::::.................................................................................... <br /> .................. ............................................ ........................... <br /> ..............................:::............................ <br /> ........ <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal❑ Required Sewer Facility <br /> Ort-site Sewage Existing Septic System ❑ New Septic System Other ❑ <br /> Disposal❑ <br /> 4... <br /> :;:;`.;SVr►rra:i{1�a� ':;i:;"{.::iiiiiiiiii:!:ii::i:???:i:':iiiit.4:?:jii:4:iii%:y;:;:;{:':iti::ii•:ii}iii$iii'vi `:`•':t;:;i,+•::ji:$jj:{:ji}iiiji::iiii:: <br /> QW1711 W ..::::::::::::::::::::::.::.:::::::::::::•....:::::::. :v ::::::?r. <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 /> .........;: <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> 4l <br /> o Yes No Yes No <br /> Yes❑ No❑ Yes❑ No❑ <br /> -2- <br />