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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SD- <br /> ........... <br /> ' :> <br /> : SD- <br /> .. ...: «%`:::>: E9 GNAT <br /> - <br /> pNI Y:YbIF.0WN�lit QF'I'Hf»}'Figp��itY Qf�10.N>'�UTf19f�IXFt?AQ�NT rJIM K.II�ANq ApP�l�A7IAN�;::::: ;:' ' : <br /> SIGNATURE: I certify under penalty of perjury that I am (check one): <br /> Legal property owner (owner Includes partner,trustee, trustor, or corporate office[) of the proporty(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 boon authorized to file on their behalf., and <br /> that the foregoing application statements are true and correct. <br /> Signature Gl�G �� Date: <br /> slgrtj ure: Date: <br /> Sign to o: Date: <br /> Signature: Date: <br /> Signature: Dale: <br /> .....:.......:..:::::..:::...:::.::..:.:...... . .... .... ::.......::.::.::::.:.:.....:.::.:......:.:.:::::..::..:.. :.::.:::::.::::::.::.::..:::::....:::::: <br /> « ':> '...... . AEF.. E.. NLY<:> >::>?<:: ' «:::»:::>:: >:rc;:':: ': :'i >«<:><: <br /> .... .. ... <br /> bk�lr✓l:o MENTitt 1t�rr3 : ".' :>< pUdllc Wcs rcS..:: :::: rrNYIl3oNl r N11�rw>t1I A1.Ill <br /> 1. Zoning: PROPOSAL APPROVED SUBJECT TO: PROPOSAL APPROVED SUBJECT TO: ❑ <br /> 2. Project moats zoning requirements 1. Encroachment Permit ❑ 1. Sanitation Permit ❑ <br /> for both use and construction: 2. Traffic Mitigation Foos: 2. Woll/pump Permit ❑ <br /> Yos)S._ No❑ _ 3. Change Noted: ❑ <br /> 3. School District Fees�tALOO x9 <br /> 4. Fire Facility Foe F=SGaLG 1-1 ❑ PROPOSAL DENIED: Cl <br /> 5. Flood Fringe E—A b ❑ <br /> 6. Subdivision History 3. Flood Control Conditions: 4. Remarks: <br /> 7. Remarks SU9Z C-r --C:) <br /> Cot-10 17171 tg OF <br /> edt'�Pi�OVAI 4. Remorks: <br /> Dale: gl By Dale: By: Date: By: <br /> Second Unit Dwelling Addr . Z�j V-1U (M1lj_NS LESCALot�l� <br /> -3- <br />