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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO.: SD-,q3---10C_) <br /> TPMO: AP <br /> .............. ......... <br /> Owner Information Applicant Information <br /> Name: I V�>� D -C S Name: O <br /> Address: wi Address: g l k°l O <br /> A / C. g533 Ill \ rG i X53 -7 <br /> Phone: t � �3 T<7�� Phone: <br /> .:.:::.:::.>:.;;;:.;:.;>;:.::.;:: <br /> Description of the proposed project: <br /> S , C <br /> c <br /> Occupant(s) - Name: QUA 'bF_- C GSV4 Age: 02,5/ <br /> Name: e 6C tO K1 SEC CUS7 f Age: �T <br /> Square Footage of Second Unit Dwelling: <br /> Year Mobilehome constructed (if applicable): I q93 <br /> :.;:.;:.:<.::::::..;:.;.;:.;::,.::.:.::.::.:::::<:<.;:.;:.;;:.;;::::::::.::.::::::..................7'Y:#NR IN►1Y.:C�IMCt�fFF'TIQ. .� ............................:.:.::..:::::::........................ <br /> ?` >:P o 0 <br /> 1 `> <br /> :: :.:;;;:>::,: ::•:::::;�.P�I'IY : rrnR:TOJt :.;;;:•.::<o::;a;:;:...:........, ::... :;;::<.. <br /> Assessor Parcel Number(s) Property Size Williamson Act <br /> a 3- <br /> t� j Q—� 1— Contract <br /> es ❑No <br /> Property Address: <br /> Lana <br /> .... ................. <br /> On-Site Uses (Include Ag Crops): R L <br /> :€.�t� V <br /> :.::.>;:.>:.;:.;:;::>::;;:::.:...>::>::>:.>:.:.::: .;::>::;::>:: W.W.P. <br /> ..... ::>:::>::>:::>:::>::>::>::.;:.::::>::::>:.>:.>>::::.............:.: <br /> . . ::;:<:>::>::;>:i;>:::i:';::i;>:.:SSi:'r.Si"Sii;<!;:;;::::: I.Wf.h. CIA. N. f I.A*...4�..+�0re[':�11e..C E<?E ,>'.:�>E r X. <br /> ��?`<>» <br /> Wile :'.>f €> > > < > > ''> >': >> » > > > »> `> > '; ':.< >«?>< >> <br /> Service Provider Annex-Formation Distance to Public <br /> Public Water❑ Required Water (Feet) <br /> Private Water ti_ Existing Well New Well ❑ Well Replacement ❑ <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal ❑ Required Sewer Facility <br /> On-site Sewage Existing Septic System ❑ New Septic System Other ❑ <br /> 14 1 <br /> :::.:. ...... <br /> . ..::.::...::..::.:. . <br /> ...::::::.::: <br /> Public Storm Service Provider(if Public) Annex-Formation Terminal Drainage Detention- <br /> Drainage❑ Required to: Retention Ponds <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change Other ❑ <br /> Drainage IP7 <br /> ::. .,. >::::....€�tMtin Roeds>:> <br /> :.;:.;:.;::. .: ... :.ti:: ;:::..: <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> yj Yes❑ No IN( Yes❑ No% <br /> Yes❑ No 1% Yes❑ No 0 <br /> -2- <br />