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} APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO.: SD- <br /> CO Pi ETA HYfittE APt?J;ICANT:pR1Q1 TO F14:N «:: ><»»::> <br /> >Owner Information::.:: Applicant Information <br /> Name: I T Y'1 r) Name: 1XIj'1, Lobl'i ll ) (J <br /> Address .- C 1 I i Address: ? 'j - Jr•f l } !i J' 1 <br /> Ari <br /> i �� <br /> Phone: (� C`( -- }•'r •l� Phone: ( ,� <br /> t, <br /> ...:::.:::::::::::::.:::::::::t :.:::::::::::::::::.::::::::::.::::::::::,::.:::......:.....::::::::::;..:::....::::::::: <br /> ......::.::.::.:::.:::.;;:.:::.. .....;:... <br /> ................... <br /> Description of the proposed project: A rnpi-y l <br /> /"firOccupant(s)- Name: j,1` (,J+r—C, / I V(..�f '� � Age: <br /> I <br /> Name: .l b l o l�� /•T I VCM I n z1 Age: 'C� <br /> Square Footage of Second Unit Dwelling: I'�(. -}-2 <br /> Year Mobilehome constructed (if applicable): <br /> N ':::: <br /> ER .:;A a vt±�INITY pSAipngtE <br /> P nX., <br /> Assessor Parcel Number(s) Property Size Williamson Act <br /> L <br /> L D C,rcl•f <br /> Contract <br /> ] , ❑Yes ❑No <br /> Property Address: <br /> . <br /> _........_....................................................................................................................................._................................................................. <br /> IX. <br /> ... <br /> On-Site Uses (Include Ag Crops). 1- Y ) ) j <br /> <:.:<•:;<:::: MP OVE N .S AN E <br /> SiT RIVtE, T . :. O.::. 1�111C� <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 /> :::::•. <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal❑ Required Sewer Facility <br /> On-site Sewa a Existing Septic System X New Septic System ❑ Other ❑ <br /> Disposal <br /> :' i%i%i%'is > ">i ? ??: •`y?i: Ri: lf.:. X °i"'?:2:i: <br /> Public Storm Service Provider(d Public) Annex-Formation Terminal Drainage Detention- <br /> Drainage❑ Required to: Retention Ponds <br /> Private Storm Onsite Retention Pond(s) ❑ Natural Drainage/No Change Other ❑ <br /> Drainage�q <br /> :: . <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> /, Yes❑ No Yes❑ No <br /> Yes❑ No❑ Yes❑ No❑ <br /> -2- <br />