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APPLICATION - SECOND UNIT DWELLING
<br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
<br /> FILE NO.: SD- -
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<br /> Owner:Informatio
<br /> Name: ,u6, Name:
<br /> Address: -
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<br /> Phone: S-3 i-t 3 Phone:
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<br /> Description of the proposed project
<br /> Occupant(s) - Name: Age:
<br /> Name: Age:
<br /> Square Footage of Second Unit Dwelling: C
<br /> Year Mobilehome constructed (d applicable):
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<br /> Assessor Parcel Number(s) Property Size Williamson Act
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<br /> ❑Yes ❑No
<br /> Property Address: �� 7 /��`G( /� /d �5 (iC O C' X752L
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<br /> Onsite Uses (Include Ag Crops):
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<br /> ublic Water r_] Service Provider Annex-Formation Distance to Public
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<br /> Required Water(Feet)
<br /> Private Water&� � Existing Well
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<br /> d New Well ❑ Well Replacement ❑
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<br /> Pubtic Sewage Service Provider
<br /> Disposal❑ Annea-Formation Disisnce to Public
<br /> Required Sewer Facility
<br /> On-site Sewage ExistingSeptic Disposal❑ p System New Septic System ❑ Other ❑
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<br /> Public Storm Service Provider(d Public) Annex-F
<br /> Drainage❑ ormation Terminal Drainage Deterrtion-
<br /> Required to; Retention Ponds
<br /> Private Storm On-site Retention Pond(s) ❑
<br /> Drainage 13Natural Drainage/No Change Id Other ❑
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<br /> R.O.W.Width Pavement Width
<br /> Curb/Gutter Sidewalks
<br /> Yes❑ No Ef/ Yea❑ No
<br /> Yes❑ No❑ Yes❑ No❑
<br /> -2-
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