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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SD-qZ- Za, <br /> >, <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 properly(s) <br /> involved in this application,or <br /> �i Legal agent(attach proof of the owner's consent to the application of the property's involved in this <br /> application and have been authorized to file on their behalf., and <br /> that the foregoing application statements are true and correct <br /> SIGNATURE: I certify by my signature that I have read and understand the Second Unit Dwelling Standards: <br /> D&W 7 - Zf) <br /> +� DOAK <br /> fflimm DsAK <br /> SwIllimmm D@*K <br /> DOW <br /> ::::::...............•. ;;:.;:.;:.;:.>;<;:.;:;::.;:.;:.:;;;:::.:;;:.;:.;:::;:::•;::.:::;.;::.;:.;:.;:::;:;::» ssp��a <br /> iii::L?L:6:•i:4:, �yy �, .::.ii:: '.�:. � <br /> ::::`.`•`:;2:i ::Si.......:��,.,...,..,.��if1pF::.�MMA4::iiiiiiir:::;:ii.}ii::i::iii::iii:<:::>i::i:::i}: .. �pf� �t ':�}::i::::.::.::.::::. <br /> 1. Zoning: =e—— 1 CO 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 /> Yestf No❑ 3. Change Noted: ❑ <br /> 3. School District Fees !2 �--i ❑ <br /> 4. Fire Facility Fee 2D . l 4)�❑ PROPOSAL DENIED: ❑ <br /> 5. Flood Fringe X10 ❑ <br /> 6. Subdivision History 3. Flood Control Conditions: 4. Remarks: <br /> 7. Remarks SEWAD <br /> LWIT— p a t lure j r <br /> _-122 15)e-42 4. Remarks: <br /> i - <br /> Date: e 7-9Z By: y i -h__ Date: By: Date: q By: <br /> Second Unit Dwelling Address: U tJ, L r_l t E t✓ L 1c' /'�L�4M G= <br /> -3- <br />