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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SD- - <br /> . <br /> . . .: . < <br /> : :SIQJ <br /> ii}::i::v•v::.:::::::::::.: ':?:::ii??:::i:;':•:::,}:.;.�...n}:::;•:{:i i•<{: :..:.:•: ;:v;...-v:.;•v:•::rr...::::::r:}':•+�$:vn-4F,.:. :::: <br /> Ot I.Y THE.gWMI»ii; :THE i'ftOpJ~1Y1'1' .1Ci'llAGENT MAY MEtJI?l0.3'i'1:lCAEtAt# <br /> SIGNATURE: I certify under penalty of perjury that I am (check one): <br /> Id 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: I certify by my signature that I have read and understand the Second Unit Dwelling Standards: <br /> Signature: Qate: _ e, <br /> Signature: D.W — %3 <br /> �a D"K <br /> tee: DE*K <br /> Sbgn&+tKe: n <br /> U51 ON[Y <br /> ::.-:.. <br /> p)EIId�1A>�Nlt 1�V1Gk �+C�1Vt �'sN11t1vAFNCA� HE111.T1t <br /> 1. Zoning: PROPOSAL 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 /> Yes❑ No❑ 3. Change Noted: ❑ <br /> 3. School District Fees ❑ <br /> 4. Fire Facility Fee ❑ PROPOSAL DENIED: ❑ <br /> 5. Flood Fringe ❑ <br /> 6. Subdivision History 3. Flood Control Conditions: 4. Remarks: <br /> 7. Remarks <br /> 4. Remarks: <br /> Date: By: Date: By: Date: By: <br /> Second Unit Dwelling Address: I.[U C 6 of 1,- -r .t <br /> CZ <br /> -3- <br />