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Second Unit Dwelling Application Form <br /> Part A <br /> SAN JOAQUIN COUNTY PLANNING DIVISION <br /> 1810 EAST HAZELTON AVENUE <br /> STOCKTON, CALIFORNIA 95205 <br /> TELEPHONE: ( 209 ) 468-3120 <br /> (To Be Filled Out By Applicant ) <br /> Property �) gent of <br /> Owner :�A-,iw A-Ci_);i 4_ e) Owner : <br /> Address :1¢33a F. M e Address : <br /> City City: <br /> State/Zip: &I %,x: 6C State/Zip: <br /> Phone : - Phone : <br /> ❑ PROPERTY INFORMATION ^ ^- <br /> Property Address <br /> Assessor ' s Parcel Number (s ) 2=45 - I�50 - <br /> Parcel Size S/�/`es t <br /> Current Surrounding Land Uses: North A-jyWo 5 _East 1rAo J-s <br /> South _West Iftwi r4' <br /> ❑ OCCUPANT INFORMATION <br /> Second Unit Dwelling <br /> Occupant( s ) : Name - C 6 Age ( s ) 9-4, 7-7 <br /> Relationship to Property Owner DgN.f <br /> Proof of Infirmity or Age Must be Attached_1 <br /> Size of Second Unit Dwelling1�� T <br /> Size of Mobilehome Age of Mobilehome /f 74- _ <br /> Explain how the Second Unit Dwelling can be converted to another <br /> permitted use or removed when i is no longer occupied by a person( s ) <br /> 55 years of age or older . a5e at, _A4d2L-Q4- <br /> Second Unit Dwelling -3- ( 7/89 ) <br />