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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO.: SD- <br /> TO;BE MAP" <br /> Owner Information Applicant Information <br /> Name: t C Name: <br /> Address: Address: <br /> C_L <br /> Phone: C._`�j'� GJ�, �•_� Phone: <br /> .....::.;::.::.: .;.::.;::. :.;:.;:.;:::.;:.;:.:.: .::.: <br /> .BEROU <br /> ��F .................:•::::::::.::::::::..::•::::.::::::........................:.:.::::.::_:.: ::::::..... <br /> ..... <br /> X. <br /> Description of the proposed project: <br /> Occupant(s) - Name: Age: <br /> Name: Age: <br /> Square Footage of Second Unit Dwelling: <br /> Year Mobilehome constructed (if applicable): <br /> `` < IPt�" tT.'`At>i7� IN13Y:C1H.tP ::<::::::>:;::.:»:.:.:::>:.>:;:>::::;... <br /> :: <br /> Prnpelly�osinaf£o#t. . <br /> Assessor Parcel Number(s) Property Size Williamson Act <br /> Contract <br /> ❑Yes lh Ko <br /> Property Address: <br /> :;::: <br /> On-Site Uses (Include Ag Crops): <br /> :::>::>::::»::>:«<:::. ;::::.>:<:>::>:::;::::..... ;.: >:....1T .: IVI.P.FCO .f*II�IIdS.:.. <br /> ':;WBS':;::::::;:;> '<> < <br /> :: :::.:..::.:.:::.:.::. .:;::.:• <br /> Service Provider Annex-Formation Distance to Public <br /> Public Water %� < < ` Required Water (Feet) <br /> O <br /> Private Water❑ Existing Well ❑ New Well ❑ Well Replacement ❑ <br /> Public Sewage Service Provider• Annex-Formation Distance to Public <br /> Disposal (d' Required Sewer Facility <br /> E� <br /> On-site Sewage Existing Septic System ❑ New Septic System ❑ Other ❑ <br /> Disposal❑ <br /> .... <br /> tnrtp'.::Ekid <br /> Public Storm Service Provi er (if Public) Annex-Formation Terminal Drainage Detention- <br /> Drainage iQ' f S'f�:,r �. Required to: Retention Ponds <br /> 1l e, <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change ❑ Other ❑ <br /> Drainage❑ <br /> .......................... <br /> ::::> <br /> > Nil.. .Roads':;.r:: '.:::'.:'.:'.::.::>:>;. <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> C: 111 C( Yes alhlo❑ Yes B No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> -2- <br />