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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ............. <br /> ;. ::;:::.:....... <br /> :BE i.C3MPLtrLQ BY:;T#fE`A.PpUCANT':P tpR:Tt3. .i 1NG :HE APP.LICATf <br /> Owner Informatioh •Applicant Information <br /> Name: Kcx-L t l'�J Ylc_t ��LL I.EV- Name: ? Cr Vl N_ L <br /> Address: tj 5 H ec I t F Address: ,S$Z� /V . �� (�[ Ji <br /> Phone: -2 •t S' 7— 3 J 3 Phone: l 0 4 7 — �?v <br /> :...::............:.::::....:...:::.::.;::>:.;:.;:.: <br /> :.;::.;:.;:.;:.;:.;:....::::.>>::.:.:::.;:.;:.;::.::..:..........R. 0 T.C�>:S O l i 1 P T I 0 N <br /> TOP <br /> Description of the proposed project: <br /> Occupant(s) - Name: Cc_c�-t- [i n CA_7'lPw C Age: <br /> r ,--_? . <br /> Name: /'-C. Age: <br /> Square Footage of Second Unit Dwelling: 2 0V S 1, -t <br /> ::::::::..:..:.::.::::..:::::::::.::.:t:.::::. PITY:AN.tJ.....C.INIYY.q. SCpI.p7ltJJ�l..:.::..::.:.::..:..:::::,....:::::::::::::::.:..::. :..:.::::.::::::............ <br /> ....:: :::.;:.,.;:.>:.;:::;.:;:.;.:;;:;;;:.;:.;;::.;:.::...:.;.;;.;.>;:;;.;:.;;..:.;.::: <br /> tit .:.:....: <br /> Assessor Parcel Number(s) Property Size Williamson Act <br /> Contract <br /> O q3 '03 0 0,.5 /J [1Yes ❑No <br /> Property Address: S� J,7. t t"��,•_�-C-C: 1 <br /> 9... _. <br /> On-Site Uses (Include Ag Crops): <br /> S f OV <br /> .... :>::>::::»::>::::>:: . ::>:> <br /> ::: > :>>< >:>><:< :>: >......> ....... tTS.MPR �M .IVTS ANIS SERYI !»5 C .« ....... <br /> ......< ;:>:. <br /> :;>:.:::.;:.;:.......... ;:::>::.:::::::: a ar........ <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 /> ..................................................................................:...:.... ..::..:....:....:..:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::.::.....:.................:.:.::::.::::. :.: <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal❑ Required Sewer Facility <br /> On site Se a e Existing Septic System ❑ New Septic System Other ElDisposal <br /> .........;;. ..:.::.:.;: :::::.::.:::::.:>:.::::::;.:::>;::.; >::>:::::.:::..:::: <br /> g <br /> Public Storm Service Provider(if Public) Annex-Formation Terminal Drainage Detention- <br /> r)—­r o...,a,. <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change Other ❑ <br /> Drainage <br /> :>is <br /> 9RD ' s> <br /> ::;::.::•:.:::•::::::::::::::::::::::.:.:::::::......: .........•...•..•:•::::::::•:::.::::::•:.::...::.:•::::: <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> 60/1'Lt1u7 7 �dri tjeojet_ 'Sy Yes❑ No j Yes❑ No,K <br /> Yes❑ No 0 Yes 0 No❑ <br />