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<br /> APPLICATION - SECOND UNIT DWELLING
<br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
<br /> FILE NO.: SD-53 -0039]
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<br /> Name: c-K airid O r S W aIP0 nme: 557
<br /> Address: 17,390 (Zo t , Address: ee
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<br /> Phone: • O 9 36,9 — Phone: _ 9 q,33
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<br /> Description of the proposed project:
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<br /> Occupant(s) - Name: r L 2 A 8 r_ T-H S-rE LL A G)4 C Q Age 617 '' >
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<br /> Name: Age:
<br /> Square Footage of Second Unit Dwelling: Hoo vL
<br /> Year Mobilehome constructed (if applicable):
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<br /> Assessor Parcel Number(s) Property Size Williamson Act
<br /> Contract
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<br /> Service Provider Annex-Formation Distance to Publio
<br /> Public Water❑ Required Water(Feet)
<br /> Private Wate Existing Well New Well ❑ Well Replacement ❑ f' '
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<br /> Public Sewage Service Provider Annex-Formation Distance to Publlo
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<br /> On-site Sewn Existing Septic System New Septic System [I Other ❑
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<br /> Public Storm Service Provider(it Public) Annex-Formation Terminal Drainage Detention-
<br /> Drainage❑ Required to: Retention Ponds
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