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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO.: SD- Qq - /D <br /> :..::.::.:..........:. <br /> E tC01V1 . <br /> ... <br /> �!1 FSR: t :.Jt!P(l]fCA"i;.. <br /> _.. ....... P�tQR:T4.... E <br /> Owner information Applicant Information <br /> Name: <-�-��-... -_ `�i \ �._ � Name: �:=•- ._. ,- ;_, i � `��,.. ��.. <br /> Address: t, �:: -, _ Address: <br /> Phone: �.. ,.�- \ t_ 1 '_�-� _� -jjy Phone: <br /> y .: <br /> .:... <br /> >::>::: <br /> . :::..:: .::::.....:::::. <br /> >::::>::::> ;. ::.;::::::::.:.:.. <br /> Description of the proposed project: <br /> Occupant(s) - Name: til t o J u y2 c j Age: <br /> Name: Age: <br /> Square Footage of Second Unit Dwelling: <br /> Year Mobilehome constructed (if applicable): (� <br /> >::::>I; ;:::z:>: <br /> .. <br /> 90 <br /> ::::::; <br /> ;:.. <br /> Po <br /> Assessor Parcel Number(s) Property Size Williamson Act <br /> Contract <br /> ❑Yes ❑No <br /> Property Address: 01 <br /> :::::::.....::::::::.::. ....... <br /> _...., <br /> .: :: ;;.;.;:::::::;:;:;;:;:: <br /> On-Site Uses (Include Ag Crops): <br /> :.::. ...;::.;::.. ......:.;:.;::.;::•:.;;;:.;:.;:.;::.;:::;:.::......:.;.::.;:.::.; . <br /> Service Provider Annex-Formation Distance to Public <br /> Public Water m Required Water(Feet) <br /> Private Water❑ Existing Well ❑ New Well ❑ Well Replacement ❑ <br /> X XX <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal 10 Required Sewer Facility <br /> On-site Sewage Existing Septic System ❑ New Septic System ❑ Other ❑ <br /> Disposal❑ <br /> .......:> :>>: <br /> ::::::,. <br /> turtti. <br /> ;.. Eiraali <br /> € ? . <br /> Public Storm Service Provider(if Public) Annex-Formation Terminal Drainage Detention- <br /> Drainage❑ Required to: Retention Ponds <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change ❑ Other ❑ <br /> Drainage❑ <br /> . <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> -2- <br />