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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SD- - <br /> .:. UT.::::.:.... :::>:;:::: <br /> ONLY�H!~ EMOF'f f E P�t4p��t 1 Y aDA AN XIJ�HO�t(7�C►Atti�N� r�laY f Ii.E ANt�ApPI.aCA I.QN <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 /> Signature: Date: <br /> Signature: Date: <br /> Signature: Date: <br /> Signature: Date: <br /> Signature: Date: <br /> STAFF U5E QFELY <br /> [)EYEIQPIYIEIIT,5FR1fIGE3 PUBUCWORKS. . ENVIRON�fENTl11iFALtH <br /> . ... . <br /> 1. Zoning: r,-` —4o PROPOSAL APPROVED SUBJECT TO: PROPOSAL APPROVED SUBJECT TO-4 <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 /> YegFf No❑ 3. Change Noted: ❑ <br /> 3. School District Fees LJ-'L fB� <br /> 4. Fire Facility Fee I&,"F''Z'Q4 t= PROPOSAL DENIED: ❑ <br /> 5. Flood Fringe l-,lC ❑ <br /> 6. Subdivision History 3. Flood Control Conditions: 4. Remarks: S U( JP—C-JF r7-o <br /> 7. Remarks C,�,"P IX t o s o <br /> 4. Remarks: <br /> Date:(' Ll 7 (B;•% Date: By: Date: jA ZBy; <br /> Second Unit Dwelling A ress: ,��2� (Lj�(�f C�c t�l P�� lw'D <br />