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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SD-x . - <br /> > <i4<:: ;:<:>:::>::::::>::<:> <br /> .. :::.::::::::::::. <br /> T.HE;OWWI»i�:.(74�<'EJ�E ; b <br /> EU. t+ft5l ::IYrY:# I:E ::<:»:>:::::::»::::>::>:::<»:«:::>::>::: <br /> :.:::..:::......................................::::::::::::::::::::.:::::.:..........................,:.:.::::::::::::.:::::::,:: :.ll'.......::.....:�t+I�T, .H CAtt�lf 1..;::<.;;:.;:.;:<:.;:::::::::::::::. <br /> ::::::::.:: <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 /> Sllgnahre: Die: y <br /> Signsure: l leu LyL� D.W - <br /> Sgnapre: no*= <br /> Sgn.are: DOM <br /> SWUM DaW <br /> ::: : :..............................................................................:..:... <br /> .................:.::.::::::::.::::::.>:::::.::.::.::.:::.::<.::.::.:::<.::.::.::.::.::: <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 Mitigation Fees: 2. Well/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: Si Or (Z Hy C(.aX-A,-A,"U <br />