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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SD- <br /> l <br /> . <br /> 4 141d::: <br /> . Y. <br /> ....... ........ <br /> Siis: ?:%:35::;i:;:;:::::::::::::::: ::ii::::;:;::::;:;::::; <br /> O:At>II~C�1tdXY# LI1N>' : ti? <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 /> 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 /> Sigma Date: <br /> Sl ynattue: DEW <br /> Signature: D <br /> fie: Dates <br /> mature: DoW <br /> Siler t>i.R�ti3FiGY - <br /> : t1[i <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 Mitigedion Fees: 2. Woll/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 />