APPLICATION - SECOND UNIT DWELLING
<br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
<br /> FILE NUMBER: SD- -
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<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 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 1 have read and understand the Second Unit Dwelling Standards:
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<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:
<br /> By:
<br /> Second Unit Dwelling Address:
<br /> -3-
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