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APPLICATION - SECOND UNIT DWELLING SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT .. ......... is ....... .................... ......... . .. .............................. X WMAP E:.P-U, .............. ......... ............ ...... ........ ..................... ..................... ................... ...... Name: �-j Name:4 aj gr's A/ e e- sz-;i W Address: - Address:ew- 'a -I q Phone: 5,77 �M Phone: Poe() (7f3 ............................... .................................... .............................. : ........ ...... ... ................. .......................................... ............... .....................I.... ... ......... . ..*'*.'"..'.................. ..... .............F X .* . ','.* -.-.', ..................... .7... .... ....- ...5...... .-....9 ...- .... ...................................................................................... .... .. .�...% .. . . . i ... : .. . K .................. ... . . I. ...... Description of the proposed project: ke- C2 Id -6—(Q 41 Gc� d-cl )L Z Occupant(s)- Name: po"14 C( b�v --&0 'r- Ge Age: Name: I C) 'OVA V C a Age: Square Footage of Second Unit Dwelling: ........... ....... ...................... ......... ............... ....... ............. ................... X. X. ....... ..... ... .......... ... ..... ... ..... .. ..... ......... ....... ........................ . . ............K .. . ..... ............. ............ ..... ............... .............. ........... ...... .... X%. . ...... . ... . .... .......... ........... ...... . .. ....... .... ....... . .......... ........... ........W�. ... ......... ... . ... ................... . ............ ....... I..... .............. ............. ............................ 11 ..... ............. . ......... ..1 1. 1 1 ..I Assessor Parcel Number(s) Property Size Williamson Act Contract /0 c) 0 Yes 7LNO Property Address: Zj PA4, ..................... .........% ....................... ....... ............................... ................ ........ ... .... ....... ..........X. .. .. .... . ............. . .............. ............... ......... ...... ..... ............. On-She Uses(Include Ag Crops): 0,- Co Au ......... ........ ii ............ ... .. OW:,,•::::::::..,::::.,,•:::.,t•:.. ... Service Provider Annex-Formation Distance to Public Public Water[3 Required Water(Feet) Private Wateftp Existing Well Now Well 13 Well Replacement 0 X .... .... ON ....... ...... �XX ..::.........:..... }}{•:::•::. ........ .... . ..... Public Sewage Service Provider Annex-Formation Distance to Public Disposal 0 Required Sewer Facility On-site Sewage Existing Septic System EX Now Septic System 11 Other 0 Disposal 70 X. .. .... .......... n..................:......:.................. ......... ... ............. ........* . ........ .... ... . ...................... .... ...... ..................... ....... ... ........ ................... .. ........................................... ........I Public Storm Service Provider(if Public) Annex-Formation Terminal Drainage Detention.. Drainage 0 Required to: Retention Ponds Private Storm On-efts Retention Ponds) 0 Natural Drainage/No Change 00 Other 0 Drainage 0 ............... . ..... ........... g............... . ............ g ............ ...... %*X MORE""— ..... ................... Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks 4NA L V cc, 0 Yes[3 No Yes[3 No !,3 Yes 0 No 0 Yes 0 No,0