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5 <br /> APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> TO BE COfAPLETEb>BY THE APPLICANT PRIOR TO FILING THE APPLICATICyN <br /> Owner Information Applicant Information <br /> Name: <br /> Name: r F f <br /> Address: Address: vj <br /> A aL— <br /> Phone: : 3�3_. I Phone: �DC <br /> P 0 ECT,;IDESCRIPTION <br /> Proposal <br /> Description of the proposed project: S ` W <br /> Occupant(s) - Name: � o ,�E r 1 r�/Ar`� Age: (oy <br /> Name: Age: <br /> Square Footage of Second Unit Dvrelfng: <br /> PFiaPEiTY AN.q VICINITY gDSCHIpTION <br /> Property.Information <br /> Assessor Parcel Number(s) / Pro erty Size Williamson Act <br /> / Contract <br /> ❑Yes ❑No <br /> L-vne <br /> Property Address: ! �t�� <br /> lrxisting Land,Uses <br /> On-Site Uses (Include Ag Crops): <br /> SITE IMP.ROVEMENTS 'AND SERVICES <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 /> Sewage Dispoeal <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 Other ❑ <br /> Disposal ❑ <br /> Storm Ort�iri8ge <br /> Public Storm Service Provider (if Public) Annex-Formation Terminal Drainage Detention- <br /> Drainage❑ Required to: Retention Ponds <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change ❑ Other ❑ <br /> Drainage ❑ <br /> ExistingRoads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> a Yes❑ No 21 Yes❑ No <br /> Yes 0 No❑ Yes 0 No ❑ <br />