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APPLICATION - SECOND UNIT DWELLING
<br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
<br /> FILE NO.: SD-9 �(-
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<br /> ;Owner::Mtormetton ......:. Appllcan4Informutlon
<br /> Name: —10A)l 5 V J�A Th l¢eN Name:
<br /> Address: Z77vLZ OAJPIJS PeIC Address:
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<br /> Phone: Z L S->1---)(47J, Phone:
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<br /> Description of the proposed project: n / /
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<br /> Occupant(s)- Name: }-k\'(ZVLk) -P_Pplle S i ill hr/ Ago:
<br /> Name: Ago:
<br /> Square Footage of Second Unit Dwelling: Z7,141
<br /> Year Mobilohome constructed (if applicable):
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<br /> Assessor Parcel Numbor(s) Property Size 'Williamson Act
<br /> Contract
<br /> ❑Yes ❑No
<br /> Property Address: 2-776Y Ztle 6<v -SC /
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<br /> On-Site Uses (Include Ag Crops): BC15-rUre_,
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<br /> Service Provider Annox-Formation Distance to Public
<br /> Public Water❑ Required Water(Foot)
<br /> Private Water❑ Existing Well New Well ❑ Well Replacement ❑
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<br /> Public Sewage Service Provider Annox-Formation Distance to Public
<br /> Disposal❑ Required Sewer Facility
<br /> On-site Sewage Existing Septic System ❑ Now Septic System X Other ❑
<br /> Disposal❑
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<br /> Public Storm Service Provider(if Public) Annex-Formation Terminal Drainage Detorrtlon-
<br /> Drainage❑ Required to: Retention Ponds
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<br /> Private Storm On-site Retention Pond(s) ❑ Natural Dralnago/No Change Other ❑
<br /> Drainage❑
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<br /> Road/Strout Name R.O.W.Width Pavement Width Curb/Guttor Sidewalks
<br /> aj Yes❑ No j$ Yes❑ NoV-
<br /> Yos❑ No❑ Yes❑ No❑
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