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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 7d B,E COMpLETED'BY TNS APPLICANT E'RIUR 70 FILING THE APPLICA710N <br /> .Owner information Applicant Information <br /> Name: ( .�, ) Nan'e- C �('C Ca /tel I UK(IVZ <br /> Address: Address: <br /> Phone: _ Phone: C' 7_ <br /> hRUJEC7:UCSC.pIPTION <br /> -... .. f ropo a[ <br /> Description of the proposed project: <br /> Occupant(s) - Name: C LICI U a I zj pe, Pe r e 7_ Age: 7/ <br /> Name: Age: <br /> Square Footage of Second Unit Dwelling: j <br /> :>::>:<:>;.`:.>:<' h.ROP�FIlY AND<VICINITY:D�SGFiIPTION.. <br /> ,:,Property InforinaUon <br /> Assessor Parcel Number(s) Property Size Williamson Act <br /> c� p, Contract <br /> 121V —1$ J O Yes 0 No <br /> Property Address: / /c i t C <br /> Exrsl'in t vid:Uses <br /> -: <br /> ... 9 <br /> On-Site Uses (Include Ag Crops): wil o hu <br /> IX <br /> >:::;;.:.;................ S.I:T,E;IMPROVEMENTS AND SERVICES <br /> Service Provider Annex-Formalion Distance to Public <br /> Public Water D Required Water (Feel) <br /> Private Water( Existing Well O New Well Well Replacement p <br /> <E>ifO <br /> iiSew" g'DIS sal:.i` >i?'• :ilissi:iii'i7'< 'S?ii:?: #'i`< iiy> si: ?;: <br /> 9.::.......:...... :::::::::::::::::::::::::•:...........::::.:.,:... .:.:.::::..:::,:.:::::.::..::.. <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal 13 Required Sewer Facility <br /> On-site Sewage Existing Septic System O New Septic System Other O <br /> Disposal <br /> Public Storm Service Provider (if Public) Annex-Formation Terminal Drainage Detention- <br /> Drainage D Required to: Retention Ponds <br /> Private Storm On-site Retention Pond(s) O Natural Drainage/No Change Other O <br /> Drainage <br /> g:.... <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> / j C Yes O No Yes 0 No)a <br /> Yes 0 No 0 Yes 0 No 0 <br />