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APPLICATION - SECOND UNIT DWELLING SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT • FILE NO.: SD- - < V cap+",,:»:::>:<:::>::>: ::.::::::.::.:;:.:::.. <........ �h FER:�C'i > ANr> +4RTa:FIE�t G THE. :�# Ph a :;;::.::.;:.;::.;:.;:.::.::.:.::. : .:.::::.::..:.................................................................... . . .. w ::............:.:: ............::...: .... .__ _ __ _. Owner Informat(on Applicant Information. Name: VO T- Yb a rG CA D)-) Name: Address: I �� 6 . Tah&af Qd Address: GOO E - 1 a I'I (%If KL ftca"p . 0-19 Q1,52-2-0 c a t 0—o L ri c izzv Phone: 2M Phone: '::;: 1t3T ESE GRl1 'CtII :.;>< ><` >;< < <: „," <'< ........... ........... 1'r .... ................... .................... ...:::. ::.:::::::::::..::::...... : :.:................... . : :: : ,: .............. ....... . ...................... ............................. ... __. ..... . ...._ .. ....... .. . _..... ....... . Description of the proposed project: r a-C o I ' l I' d / C e OY1z( um le— 1 l c A1C= Occupant(s)- Name: Z lh(� 5 �(j( S(�� Age: Name: Age: �fJL r Square Footage of Second Unit Dwelling: a3 j O S Year Mobllehome constructed (if applicable): ;s:;:;z:E:::>::::<::>::[;: ':' > <:>:>`»>:.;:'::>:.... >::><e:»>:?::>:>:>..pR. ...EFt�Y 1►ND.. .. INITY Ve$ a.P...Tlpt�>< « >« »`>>;>;<>> > >;> >> ><>[: <: o :.,. ......:....:.::..................:.......................................:.......:......:.:... 011: <:>...P onnaum Assessor Parcel Number(s) Property Size Williamson Act ,.-�^ Contract W3 /&D -3K j �L'S ❑Yes rNO Property Address: o Ta qaAf2d , ,/-T C16 Z2 L> sin Elm::>'' ` >'''°<«>< » %3 <>»>> <`» >><>r< ::;;; . :: s: :.:::::::.::.::::.::::�•:::•::::•::::•;:::..:::.;...;......:::.::;:::;; ::::::•:::........:.::..:.:::: •:.: ...........................................:...... ::•.:::._:::•:••:::::.::::::::::::.:::: _.. On-Site Uses (Include Ag Crops): U �1 �t;(O 1 I VL �C� 1 �► dI' :.::::::::.................. .::.:::.....:.::::..::.;..::: ::<;:.:>::>::>::><:<::<::<;:<::::;;:;::;.:::»::>::>::;:;<».>:>::::;<:»:::>:::«:;:::<:>;>::»::»::;::;5 O AND SE .....:.....; :. .... ... �- X. . ::: :.:: :..:: ::::::::::;: :::::::: :::::: <:«::::::>:>: ::>::>:<:»:.:: :;:>:>::»>;>;:>;»»;::>::>;>:::>;::;>;::»::»::>::>:;:.. ITI*. 11fLPF.... V.I�t+IhNTS. _ _ Ci" ;:< :...:..::::..:::::::::,.:..:......::..,,..,:....,.:.... .......................... ,, .....::...::........... .............. . ......R1 ..... :::::::::::::::::::::::::::::::::::::::.:.:::::::: ::::.:::::: ::::: ._: .. ... X. Wil ....... er Service Provider Annex-Formation Distance to Public Public Water❑ Required Water (Feet) Private Water Existing Well New Well ❑ Well Replacement ❑ .:.:.:.:.:.:.:.:.:.:.:............................:..:.:.................... .. .. ....: .:.:. .:..:.:..:..:..:..:,.:•..:.:.:.:..::...........:..:..:..:..:.:...:..:.:..:.:.:.::..:.:.;.:.;.;. ` »<#?><':......: :. E`.. : i. . .... Public Sewage Service Provider Annex-Formation Distance to Public Disposal❑ Required Sewer Facility On-site Sewage Existing Septic System X New Septic System ❑ Other ❑ Disposal lo »5tfi►n!'...... <`><'3«< %>'<E >< > > >> > E :E:E ....... ..................... EE EEE E E <EE>E E E E E Public Storm Service Provider('d Public) Annex-Formation Terminal Drainage Detention- Drainage❑ Required to: Retention Ponds Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change Other ❑ Drainage RJ >>�cEstid Roads. 0.. Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Yes❑ No)d Yes❑ Nok Yes❑ No❑ Yes❑ No❑ -2-