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�I APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO.: SDS L( <br /> ......:........... <br /> :::<:::::::::i::::i:Tj? ::: :: ?i ?^ii:;:'iii::Isis:::•:::::::"::isti::'::::}::iii:ti i::i:<}:iiii}iy i:y:' <br /> 4!�Fi'; •,,,h+�YR1,•„. ..:ISYt::if►R9: 11f1+T .\l.y�}..'tt 'ti::•:::::i:::::::::::i::i?::iii'v::i::.. <br /> ...... .. .... <br /> ........... v.;•�•nw:;:.:CC:.:�:C•i:�:�::.ii:.i:�:-:::;CCC;.: <br /> .... :•..:...::.�:.�:..•.:.: <br /> .. ":.::c:ilii::::?ai >::;::;r .. <br /> Owner anformatiorl ,. ....... iApplleani Mfo�tnatfort'<; '. <br /> Name: V Gi” (1 Name: <br /> Address: L Z y m 1 1C�n Address: Z 2-4 g <br /> Lt nd e.n CC,- qll5 Z,3C� fCa q Z3pC� <br /> Phone: 1-� - O O 1 '3`CG 1 W-4ti -5Ca l�{ Phone: <br /> .............:.:: ::.::: :::....................:.:.:..::.,........ <br /> >'•r <br /> .::: ::::::....... :.;;:;•;;;':::::.::::::::.;:::::.:::......:.::........:.:::::..:..:.::. :;:::::.;:•.. xs ex fi�'ax� FEW <br /> iiiii::;>zz:::•;;'.;:::::::.:.:::::::._:::::::::.::: <br /> :p. <br /> ! <br /> T'EFSC <br /> PTS <br /> ....:::..:.:::<.::.;:.;:.;;:::::. :. <br /> .......................::::::: <br /> .................................... . ... <br /> :.:::::............... i.;:.;:.;:.::.;:;<.;..... <br /> .............. <br /> Description of the proposed project: _TZ(Y1 oro r O b, ,e✓ orn e- <br /> Occupant(s) - Name: ThornclS Age: 3Z <br /> Name: �Vac:_ rl e- Age: �. <br /> Square Footage of Second Unit Dwelling: , cj <br /> Year Mobilehome constructed (if applicable): <br /> `p <br /> :::» <br /> ................................ <br /> ......................:. <br /> .,' <br /> •• >: ;:;:;:::Y .:. . ...... <br /> Assessor Parcel Number(s) Property Size Williamson Act <br /> Contract <br /> C ZZZ A C-r e.J ❑Yes KNo <br /> Property Add ress: asyq� C. mt �4cw-1 V Und�n Ccs QSL3C0 <br /> :::i::::::::::::............................. <br /> ; '>: <br /> ..:..:... :.:.:.::::::.. <br /> On-Site Uses (Include Ag Crops): ( ?Q,�:+ v( e_ <br /> ? -: :. ::;;;:::i:ii%'•,• iii;% >??ti>i :<2%? <br /> .... ...:.:..:.:.:...t.;.....;::>s:>. � �. v <br /> Service Provider Annex-Formation Distance to Public <br /> Public Water❑ Required Water (Feet) <br /> Private Water Existing Well ❑ New Well Well Replacement ❑ <br /> E. <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal❑ Required Sewer Facility <br /> On-site Sewage Existing Septic System ❑ New Septic System Other ❑ <br /> Disposal 2� <br /> Public Storm Service Provider(if Public) Annex-Formation Terminal Drainage Detention- <br /> Drainage❑ Required to: Retention Ponds <br /> L I I I <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change ❑ Other ❑ <br /> Drainage❑ <br /> . <br /> ;::£kF32ipn ice: <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> -2- <br />