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r: <br /> °"Xku'" C, Second Unit Dwelling Application Form <br /> Part A <br /> SAN JOAQUIN COUNTY PLANNING DIVISION <br /> 1810 EAST HAZELTON AVENUE <br /> STOCKTON, CALIFORNIA 95205 <br /> TELEPHONE: ( 209 ) 468-3120 <br /> (To Be Filled Out By Applicant ) <br /> Property Agent of <br /> Owner : C6 Owner : <br /> Address : 41i 12 14fe-l\ c r!l I-N Address : <br /> City: City. <br /> State/Zip: i State/Zip <br /> Phone : Phone : <br /> ❑ PROPERTY INFORMATION <br /> Property Address , 211l� C�.TaN Chi CIS�a/ Z <br /> Assessor ' s Parcel Number (s ) 3) <br /> Parcel Size . 12- ACA C = <br /> Current Surrounding Land Uses : North 2( � '�):Nl rel:- East 2t^SrNt��South nC1 r 7 t"n,lr/1 L West 2C,5/h r t, i ,12 <br /> ❑ OCCUPANT INFORMATION <br /> Second Unit Dwelling <br /> Occupant ( s ) : Name �� G�� Lr� c� •� _ Age (s ) . <br /> Relationship to Property Owner i <br /> Proof of Infirmity or Age Must be Attached_ Yr-5 <br /> Size of Second Unit Dwelling 00d +- W-ITH prro )aSe-t� AQiT�0#3 OLA-To <br /> $Lc►1j��Ij <br /> Size of Mobilehome Age of Mobilehome <br /> Explain how the Second Unit Dwelling can be converted to another <br /> permitted use or removed when it is no longer occupied by a person( s ) <br /> 55 years of age or older . bL V ' Lb q_, A <br /> Second Unit Dwelling -3- ( 7/89 ) <br />