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1 <br /> APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> iO BEOMPi ETE1a�Y �AP��1CANi PFi10fi'iQ FiLING;THE APPLICATION <br /> C <br /> Owner Information Applicant Information <br /> Name: 4 5,211 <br /> Name: <br /> Address: Address: L (-W <br /> Phone: 93 1 - 38Y Phone: 9,%6­56c)_-3 <br /> PROJECT 0N <br /> proposal; <br /> Description of the proposed project: <br /> Occupant(s) - Name. lbr.MJtr-G 119eJ9 e: <br /> Name: Age: <br /> Square Footage of Second Unit Dwelling: 1 <br /> X. <br /> »::::>::::>::; :::»::>:<::>::::;::::>::;:<:;:;":::: a'i?Q>~+�ft'Y AND Viol NITY.DESCR PTIQ:. <br /> P:n a btlamAtroR <br /> ».: XX <br /> f P:..O ..::::. <br /> X. <br /> Assessor Parcel Number(s) Property Size Williamson Act <br /> / Contract <br /> ❑Yes VNo <br /> Property Address 9,101 <br /> _. <br /> 1=x1sU. 9.i-and,Uses <br /> i <br /> On-Site Uses (Include Ag Crops): E <br /> CPQ <br /> MENTS'ANRERVIGES <br /> water <br /> Service Provider Annex-Formation Distance to Public <br /> Public Water❑ Required Water (Feet) <br /> Private Water Existing Well New Well ❑ Well Replacement ❑ <br /> -,ls'.'ceai<>:i%'asisifi?` 3i? �i>isi° ii?3?>t'i :>;'` '`:` <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 'Z Other ❑ <br /> Disposa <br /> m*Drainage <br /> Public Storm Service Provider (ii Public) Annex-Formation Terminal Drainage Detention- <br /> Ilroi,noVo�R'� PPniiirPfl fn• Pnfr .!inn Pn Hr <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change X Other ❑ <br /> Drainage <br /> ...:..::.......::::::.::.........:::::. <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No Yes❑ NA <br /> Yes 0 No 0 Yes 0 No 0 <br />