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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SD- - <br /> ::.::::: . .::.IoWwkh 1 ....:.........:.:.:.........>::.:.;:.::.i;:.::.;>:;:.;:.;;::>::;.;:_;:.;;:.;;:.;;;:::>::;::;::.....>;<..;.;:.;:.;:.;:;:::.; <br /> ON <br /> < :»:<:......... <br /> SIGNATURE: I certify under penalty of perjury that I am (check one): <br /> 112< Legal property owner(owner Includes partner,trustee,trustor,or corporate officer) of the property(s) <br /> involved in this application,or <br /> ❑ 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 /> Signature Dane: 02� <br /> _ <br /> Daw 19clq <br /> Dow <br /> sgnature. _ DEW <br /> O DOW <br /> wo <br /> ... .......::: :::...:.::........ ... :::.....::::....::.:.............:.:::::::.:::::::.�{TIR��: ----'�iCFiii::i::::ii::i:<:::::`::i:t::<:j::::�>:i::i::i::::: ::i' ��:((.��: :}:::•:::.::::.: <br /> ..... .. ... .... ........................:.:::::::::.�:::::n•::.�::::.:::.�::{•iii:.::•i:•:::.:::•iii:.::.i:•::•::<::is::ii::?:i:i �I�. ;l� i :::::::i:i?i:•i::::: <br /> 1. Zoning: 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 /> Yes❑ No❑ 3. Change Noted: ❑ <br /> 3. School District Fees ❑ <br /> 4. Fire Facility Fee ❑ PROPOSAL DENIED: ❑ <br /> 5. Flood Fringe ❑ <br /> 6. Subdivision History 3. Flood Control Conditions: 4. Remarks: <br /> 7. Remarks <br /> 4. Remarks: <br /> Date: By: Date: By: Date: By: <br /> Second Unit Dwelling Address: <br /> 1 -3- <br />