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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SD- - <br /> <:.;... :.................................................. <br /> <ACI <br /> < :; <br /> Q.:::.:.:. 1Ci :�1 C�1'1;..UA'Y..tZ-:AMS.1�'a�l. ::::.::.::.:.;:.::;.;:;;:::.:: <br /> SIGNATURE: I certify under penalty of perjury that I am (check one): <br /> (12( 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: I certify by my signature that I have read and understand the Second Unit Dwelling Standards: <br /> Signature: 1 �. T i( 1-& Dartie: t-/ <br /> Slignatme: D w <br /> Swwtwe: iJ n D 71b o DOW <br /> signature: D.� <br /> signature: D1W <br /> 1. Zoning: 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 ❑ <br /> 4. Fire Facility Fee ❑ PROPOSAL DENIED: ❑ <br /> 5. Flood Fringe ❑ <br /> 6. Subdivision History 3. Flood Control Conditions: 4. Remarks: <br /> 7. Remarks <br /> 4. Remarks: <br /> Date: By: Date: By: Date: By: <br /> Second Unit Dwelling Address: <br /> -3- <br />