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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SD- - <br /> . <br /> ....................... ... ...... ................... ...ox <br /> ........................................ .. .......................... . ....... <br /> ... ................ .... J <br /> .. .................. <br /> ........... ... ................ <br /> ... ....... . ....... ....... <br /> ......... .. .... X :X <br /> ...... .... <br /> . . ...... ..... <br /> ............. <br /> .. ........................... <br /> . ............... <br /> ... ....... . ...... <br /> .............. <br /> ................... <br /> .............. ......................... <br /> X... .......... ......... <br /> ... ............. ................. . ..........- ...,................ <br /> a .......... ............... <br /> ............. .............. <br /> . . ............. ... <br /> iqa" A- <br /> RoPew"'. <br /> :P OT <br /> ........... .......... <br /> SIGNATURE: I certify under penalty of perjury that I am (check one): <br /> Legal property owner(owner includes partner,trustee,trustor,or corporate officer) of the property(s) <br /> involved in this application, or <br /> 0 Legal agent(attach proof of the owner's consent to the application 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: <br /> Signature: <br /> sigrumKIN Dow <br /> SWMUKW- Data: <br /> Signatmw DESK <br /> .......................-................................... <br /> ........... <br /> ............. ............... ...... <br /> ............ <br /> .......... <br /> .............................:7M.'. <br /> . ................... ..... . ....... <br /> ... ... ........... <br /> . ........ ...... ...... ..... .......... .... <br /> ... ....................... ....... <br /> ................................... ....................... ...... <br /> .......... <br /> .................................. .. . . ................. <br /> ............ <br /> ............................... <br /> ................................ <br /> .......... <br /> ............. <br /> 'O.P <br /> ..... ........ ......... ... . . .. . . ............ .. <br /> ..... .... <br /> .................. .................. .. ..... .......L...... <br /> 1 Zoning: PROPOSAL APPROVED SUBJECT TO: PROPOSAL APPROVED SUBJECT TO: o <br /> 2. Project meets zoning requirements 1. Encroachment Permit 0 1. Sanitation Permit ❑ <br /> for both use and construction: 2. Traffic Mitigation Fees: 2. Well/pump Permit ❑ <br /> Yes 0 No 0 3. Change Noted: ❑ <br /> 3. School District Fees 11 <br /> 4. Fire Facility Fee 0 PROPOSAL DENIED: ❑ <br /> 5. Flood Fringe 11 <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 />