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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: Name: <br /> Address: Address: <br /> Phone: Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: <br /> Occupant(s) - Name: Age: <br /> Name: Age: <br /> Square Footage of Second Unit Dwelling: <br /> PROPERTY AND,VICINITY,DESCRIPTION - <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Williamson Act <br /> Contract <br /> ❑Yes O No <br /> Property Address: <br /> Existing Land.Uses <br /> On-Site Uses (Include Ag Crops): <br /> SITE IMPROVEMENTS SAND SERVICES <br /> Water <br /> Service Provider Annex-Formation Distance to Public <br /> Public Water ❑ Required Water (Feet) <br /> Private Water❑ Existing Well ❑ New Well ❑ Well Replacement ❑ <br /> Sewage,Dlsposaf <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal D Required Sewer Facility <br /> On-site Sewage Existing Septic System ❑ New Septic System D Other ❑ <br /> Disposal ❑ <br /> Storm Drainage <br /> Public Storm Service Provider (if Public) Annex-Formation Terminal Drainage Detention- <br /> Drainage D Required to: Retention Ponds <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change ❑ Other ❑ <br /> Drainage ❑ <br /> Existing Roads <! <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes 0 No D Yes 0 No 0 <br />