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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SD- - <br /> .... <br /> �i1 A=t SIGN RES <br /> pi31 640> 1IWI .,.aP;T,E.PROPEI'TY:.iR:AN UTHC1f�� <br /> l?.AQIwIV i:MAY I�.r ANt!APPJ iC10. <br /> SIGNATURE:: I certify under penalty of perjury that I am (check one): <br /> L� 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: ILS X99/::t✓ /�/ . / /'' _ Date: <br /> Date: Z <br /> Signature: Date: <br /> Signature: Date: <br /> Signature: Date: <br /> :::>::>::.;::> >:;:.;:.>:::.. >::::>::::::::...::::.::>::>:>::.:::.>:.:..: :..:::: .:::::::::.::.....:... <br /> DEl/ELQlow >:>: :..:>: <br /> NT 5EF1/MC�3 f�UBL1C ilvvHKS 1tVtiRONIrtENTA4 HL't FF. <br /> 1. Zoning: =>L I O 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 U rOo ,J }}_, <br /> 4, Fire Facility Fee PROPOSAL DENIED: ❑ <br /> 5. Flood Fringe f-1 e: ❑ <br /> 6. Subdivision History 3. Flood Control Conditions: Remarks:S(((2 k� j > <br /> 7. Remarks S U K Jf c7 Tu <br /> G <br /> A t-- 4. Remarks: <br /> Date: E 7� ,-�. ' /, G Date: By: Dater t 2/ Z ByAl <br /> Second Unit Dwelling Add)ess: �Ll t-- <br />