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APPLICATION - SECOND UNIT DWELLING SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NO.: SD-53 '•�r':•iv:?::i'�iiii::^:l{•'y:$.{,.�•i:/•.:i1F:i'r{:4:�:�C• BE COMPLETED:BYTHE APPI.ICAl1'J'PRfOR TO FIE3NCi THE APmt ATIOrE .. Owner,Information Applicant information Name f I taed ab Cqd.,iee0Name: Address: 2q(, Address: Nle- La N2o a+ , 95330 SOME Phone: (Zoc) BZ - �� Phone: �1E >:z#:;<:;:: iii::i:;: >:<:»»:»:<:>;::>:>::»»::ii»:::>:>:»::>:»i>:;:i::>isii>:>:«;;iis>::i;<:s»>: < <:>:«:;: '<:;::{iii:•;i:i:: :;> :.:>:;::•:'•:ii':>::::::........... ::.i.i.:;:::::::::::::::::::.::::.:::::::::::::::..:: > i!v ' 3GHR: I:.:,;. ....................... ..........,.................,............... •��• ::'::>;::ri::�...:.::.ii;:.i:.;:.i:.i:.ii:>.i::i:: :.:�i:.::.i:.:{::i:<:i::ii::::i::ii::i::i:«::::;::::;:i::<:i::i::i::i::::>:<:i::::::::::: ;::<:::is:;i:.::iii:{:»>::»>::»>::>:<::> :::::• ..... :.,.• :i::.,•r... . Description of the proposed project: L ,,U w1C Occupant(s)- Name:VAI_Ell)%// JA ES&O/0—TA Pt C4?_0 Age: '� Z Name: Age: Square Footage of Second Unit Dwelling: Year Mobilehome constructed (if applicable): aJ SeV41k16 Q�112 /9 :;1VAZ .....i:::: is i:;:;;:.'':iiii i:;'::;iii:::;•;i;:;;i:;i::;i;i:Ei:;;:?::iii i 'i i i::?:<i;iti is>:?:i:>3?i i;:2?::iii;'?'t;<i:::::<:::::::• ;:i::;:is;i;i .i:'.;: ......{...3yIC ;..... : :.;:•`:4i`::{Li::iC:ti:;::4:# .:........................... i+c ...:..:.:.,,..: :: ::. Pro lttifosrilfit .::..::.....:::.:...:::�: � :i:•ii:•ii:•;i:•ii•:: •ii:•ii:i:.i::i>::> Assessor Parcel Number(s) Property Size Williamson Act Contract / ❑Yes ❑No Property Address: LO E5 j MAtJ I L 1+ ,2 tJ Z_A-7r1Qa p (4 q5 33o .:..:....... . :::.::::.:.;•:.;::•iii:•; ::::::.........:::..:{•iii:..::;:::•;::::::::•::. :: .r :::.•iii;•i:• S:•r:•S:is^:•i:S:•i?:•iii:•:1....•ii ..... .:... ... ................ W ,.F ::• ... :::....:v::.... .:. ..\ ..\;..4.. ;.{ i'•'SG::�: ii'�W:VaOR.. ... On-Site Uses (Include Ag Crops): S v... SIS t P Vtm CS b tER CIES N{ ...... :: ::• {.v'�r'Y:i......... ...is}i.',:;kjni:Si: .. ..... .. ... .. .:C ',i'. v ........,........:........, �s. e.......... . .>:.:.i'...: ::•::.:::::::::::::::: ......... ::. ..............::.::::::::::::::.:........... z. .... .. . ::.:,.::..::............................................ s...........................................:.::. :........................:................:........:........... :....:.......:...........................::::: r: to. ...WB t. Service Provider Annex-Formation Distance to Public Public Water❑ Required Water(Feet) Ytx Private Water❑ Existing Wel New Well ❑ Well Replacement ❑ ....................................................... :.,,,.::.,.::•ii>:{:::::::{:.,:•>:•>:•iiii:•i::.;ri:;:.:.,f....:....::::....................................................................... :: •'•`:`::?s::::::::::: ::::::`•::Sti:::>333:%:isis?::::2??i:%t :i:::::: ;: ::::::::::i:::::::::::` Public Sewage Service Provider Annex-Formation Distance to Public Disposal❑ Required Sewer Facility On-site Sewage Existing Septic Syste New Septic System ❑ Other ❑ Disposal❑ ............. Dritld..Al za;:>:<::<::;::<:ii;::ii::ii::ii::•i;:... Public Storm Service Provider(if Public) Annex-Formation Terminal Drainage Detention- Drainage❑ Required to: Retention Ponds Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Chang Other ❑ Drainage❑ o:::::iii.::riir.:a:iiii{:<:Y:•.ii::'.ii' . ....o . Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Yes❑ No❑ Yes❑ No❑ Yes❑ No❑ Yes❑ No❑ -2-