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APPLICATION - SECOND UNIT DWELLING
<br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
<br /> BRE
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<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: Die:
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<br /> Doe:
<br /> Siprarture: Deis:
<br /> SNnalum: Date:
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<br /> 1• Zoning: 4 d PROPOSAL APPROVED SUBJECT TO: PROPOSAL APPROVED SUBJECT TO::
<br /> 2, Protect meets zoning requirements t. Encroachment Permit 0 f. Sanitation Permit ❑
<br /> for both use and construction: 2. Traffic Mitigation Fees: 2. WelVpump Permit p
<br /> Yeses( No❑ 3. Change Noted: ❑
<br /> 3. School District Fees L� f
<br /> 4. Fire Facility Fee_tSATKR1 o--V0MD 4 PROPOSAL DENIED: ❑
<br /> 5, Flood Fringe__A- IJ.
<br /> 6. Subdivision History 3. Flood Control Conditions: 4. Remarks:
<br /> 7. Remarks SU JC-e---r -ra
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<br /> 4. Remarks:
<br /> Dale:? (2 4f $ 1 Date: By: Date I`� 1 By
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<br /> Second Unit Dwelling Ad teas: 858 8 .4 l . ALU M 521sSV=e
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