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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SD- - <br /> :,:r;::.::.:............................................................................ <br /> f. <br /> ::. <br /> .............................:::::::::::::::::::::::::::.::........................... .. <br /> ; :.. <br /> iii)}:�i:.:.}::4:•iiiY}}}:.:}}ii}:?:•ish:•ii:•ii:.}i)i:::::.:.i:::i$$Tiif.:i}:�:.: ... .. :::::.};.;??)::.....::::::.:............. }.....n •:::•.�:............:.............. <br /> t( r S':?:is?Gi):?•iiii:•:Gini'i-::::�?:':•:':Gi:Gii:�� :.:?:. <br /> .................. ........................................::.�::...... .1� ���ni : '.iii:i}iii;• n:$'i:•}}})i}::i:r^}>i;:•};4)}$:• <br /> :.iii:�iii�:i?.yv:•}i:i:::.�:::::.::i?::::::.iii:::i:.i::�i)i:?:::.::.:::....:......:.:................:........ ..........��.M���........................................ <br /> ::::::::::•...:: <br /> :'^Y%::r?ii:(ii:::ii:G:ii?Gli;:::i)i:i}}}})}}:�}';n}i}iii}}';::G:•}:4i}i}ii}}}}:�:i:'^:•)}:::.::.::• <br /> .....:.:.............::.:::•::.. .............,..:......:.::::xc.:.........:::• �::.i:.ir..?r:•;•;i:�>}::,............................Z... :•:.SL .,.tf;... ......: <.. .. <br /> /y��y y� ..(�./♦.�(�.�.:,h. .: (.y ., ,..,..:. .. .. .,,.;. .}.........:.:.::....}.....,.,,Y;.s}',:.�;?.XS, -r. ' ,:.;•v:?.,:;• i: :�::i: <br /> "'':::j'<::3/i�lii7:i� .;M:.1lRsilf:;M fi7 .�- .'F..:�':h'k:?f,ry:.:i i::i:i::ii..... <br /> .......::................................................................: �„�rii;:i:;� :.7!��::�V:F.1.1........Vf1t�i.�i.�....,..il:;�{i1TwA�l...{fIM�:���:JRRIi�: R`.7iA►I '�.jy��(�..nv}:::.x::i::::.. <br /> .........:.:.:.:.....................................................................................:..:...:......................::...:................. <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 /> Slgl�ftll: Date: Li <br /> Signature: Dale: <br /> Slignature: Data: <br /> Signature: Data: <br /> Dais: <br /> ST: D ,..;:::..i <br /> bErIELQPUENt WRt/t1f3 XX <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❑ /� e 3. Change Noted: ❑ <br /> 3. School District Fees �GG� ❑ <br /> 4. Fire Facility FeeORWA&& PROPOSAL DENIED: ❑ <br /> 5. Flood Fringe O ❑ <br /> 6. Subdivision Himry _ 3. Flood Control Conditions: 4. Remarks: <br /> 7. R marl. <br /> 4. Remarks: <br /> Date:�-W,"Y: C'MV Date: By: Date: By: <br /> Second Unit Dwelling Address: 9?0/ N• N4 4a& 7 1� !7/, �j'j�7c , �j�� ysl✓� <br />