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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SD- - <br /> :>:: :::>:::::::................._......::..WNiE+F;<Q :RK P:F PEATY il.R..AN.XIYXHaE�I p:.AQ>wt�li'.IUTA F:fI1:E>AN�?.A i'. >::::>:: >::: :. <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: pate: <br /> Signature: Date: <br /> Signature: Date: <br /> Signature: Date: <br /> ST <br /> >>::»»::::::<:>:::<::<:>::::>::>::»::>:<:>::>:«:>::>::><::<:»::::»::»:>:<:::>...... . AFS.USEflNLY:::>':;>::::;::>:: : :>:::>::::>?:>:>:::<:::>::::>:::<:::>::::>::::>::»:<-s>:<:::>::::>::::>::::>:<::::::»:<:::>::::>::::>::::>:::: <br /> . .:.::..:.::.::.:;:.::.;:.;:.;:::.::.;:.... .:.,..::::. ..:. <br /> El O INT SERfr'ICES<>'.»>:<i>> :«:::>:::>::>`.: ::;;:': ::>:::::.:::: <br /> ::::::.::.:.................................. ;::::;PUBUCIfiiORKS<.;::::........:....:...::::::::.::....:..Ei�YtRUNa~IINTA[ <br /> 1. Zoning:�CPROPOSAL 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 /> Ye3-� No❑ 3. Change Noted: ❑ <br /> 3. School District Fees—L--10 <br /> 4. Fire Facility Fee (nom t3ki%E PROPOSAL DENIED: ❑ <br /> 5. Flood Fringe t`lc� ❑ <br /> 6. Subdivision History 3. Flood Control Conditions: 4. Remarks: <br /> 7. Remarks <br /> ceJ IctiIS o t— <br /> At? oVrti� 4. Remarks: <br /> Date:( By(. ,&�= Date: By: Date: By: <br /> Second Unit Dwelling A ress: �j�j2(� �, �L{!�(�� j�oti( �� (_c�'L) <br /> 4 <br />