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J APPLICATION - SECOND UNIT DWELLING SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NO.: SD- - TQ BE.CQMPLEFBY' APPOCANT MORT01=SLING THEAPP.t CATIOti... Owner Information < Applicant Information Name: �A 6 c ') n(l,.>Pu ,< �'x`06,, Name: Address: /�g3 /Al an, �-*� .X Address: �f _7 �/. PdJ 9;�_ Phone: �209 S 38 f77.2,5' Phone: 53VJ i:2:Y:iii: ?;::i::.....::......i;.::: is i:Y:ii:•...•:.•;;... . ': S;:i;:i::i%%:::i iiS ii i'r :is: ::;•i:%:is is ii:iii: . i:s. ........... r::'+i::i:;:is?;:;::;`> ! :'iii::::jtiii::::: Description of the proposed project: .IoA l,; o r- !i Occupant(s) - Name: Jl�vvnEi 4 . Sp,,,.' Age: S6' Name: L/Cy to- Sfgh11,1 Age: -1; Square Footage of Second Unit Dwelling: 740 Year Mobilehome constructed (if applicable): C :....;;:.;:.: i>iiiiii<::::i::i::i::i::is:i::::::;:;::ii::i•:;:::.;;;i:: ::riiii:;::::i:..:; :>:::.........FiERTY.J#NQ:tttCINITYa�.F .....tPTCOt >< ><: > << ' ` <`>:: : .. .. .. .. ......................................... ....................................................................................................................................................................................................... :;::.::;::. i;::i::i:<:i;:<:i::>i:<:i>:<:::. :.::<:::<:::ii<i:«:i.....::i::::;::ii:<::<:::.;::::;::;<:::<::<::«::;<:ii: <:<::::«:::: ::::: Assessor Parcel Number(s) Property Size Williamson Act 171- 32D 11 5-X Contract ❑Yes ❑No Property Address: j �!o p� U .....:.. :......... :.. .:..::.....::::::.::..... ... lE.t�YHd E3411I1i'` ''.'.:>::'.<'.'".`'.'.'>'.> '. �>::::>` `'.'. '.>'.>:;'.?:i'''.>'.<'z'.:'.>� '.'.z::::::::: :::o:::> ,:. ;.. On-Site Uses (Include Ag Crops): ::i::i;::::::<::.:::.::::::....:::i s i .:. ; <:>`:: ;G:$ii:i<iz:::<:>::»i:#:>:: ::::::.. •':::,•':>::>::;:::;<:;>:;: . .,. SITE IMPR .VwEl. S . ❑ S R1IIG Siii:<.:;:i:::::<.;>;:.i:.;>:::.::.::.::::.. ;iii;;;>;;;::«>::.;;:..:,><: ware . i Service Provider Annex-Formation Distance to Public Public Water❑ Required Water (Feet) Private Water M Existing Well New Well ❑ Well Replacement ❑ .......................... :::::::::.: �i.,...: .................................... .. ;::i:;::;::: i::i::i;::i::i;:;:::::<::; :;:::;;:;:<:;:i::;::::::;:::::;;;:;:::;:r;:::<::: Public Sewage Service Provider Annex-Formation Distance to Public Disposal❑ Required Sewer Facility On-site Set age Existing Septic System C1 New Septic System Other ❑ Disposal Public Storm Service Provider(9 Public) Annex-Formation Terminal Drainage Detention- Drainage❑ Required to: Retention Ponds Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change Other ❑ Drainage »: ,;:.:;.. :;z:::;: ExFaffnq How Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks i 0 RD, //y � y 9 Z/ Yes❑ N.IX Yes❑ No 2.� Yes❑ NoIX Yes❑ No -2-