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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SD- - <br /> >:<:::;<:::s:>::;>:<.;::.; :.;:.;:.;;:.;:.:;.;;:;;;.;:. .mss. ........... ...................................:............................... <br /> ....:... <br /> ......................... He8.�>...:••.,::,:.;:.;:.::.;.:;::�:.:_:.>;:;:.;:.;:.;:;:.;:;.::•;:.:.;::.:..�:.:::::::;:•.::::::._::::.:::::. <br /> .':'�:::::::::'.i:::::�:::.:.?:.::.:..:.::..............�:::.i. `.:>::?:::::::: .'i::C::.;:;�.,.isi4X:.:is:::}':4Y::yr.;.:...:::ti.4i :?•i:::v:.:..?:. <br /> tit �r»E V. aP > pp lrtr t Ari> ur>'r� u r t r <br /> SIGNATURE: I certify under penalty of perjury that I am (check one): <br /> Legal property owner(owner includes partner,trustee,trustor, or corporate offlcerl of the property(s) <br /> Involved in this application, or <br /> ❑ Legal agent (attach prof of the rrrncr'ia cons-on,,o the applleation 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: / Date: <br /> Sam: "�Irm D.tx - q <br /> s+gnaltare: D. <br /> DMw <br /> fie: <br /> i <br /> rusl±: <br /> xrrr sis :: >«:.: .:. X. <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 />