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4 <br /> APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO.: SD-r73- 90 <br /> ... .. ......... ............. <br /> ...... ............................. <br /> .... ........»TO....... <br /> ... ...... <br /> JHE NPtyi. .MOP, <br /> ..................... ........ <br /> ............... <br /> ...................... <br /> .................... <br /> ....................... ... <br /> Owner Information <br /> Applicant <br /> Name: Name: /2 4 <br /> Address: Address- <br /> V <br /> Phone: Phone: <br /> ............... .............. <br /> X", <br /> ............... X: . .... <br /> .......... ... . ..... <br /> .............. . ....... <br /> . ...... ...... . ....... <br /> ............... . ....... <br /> X ... .................. <br /> ............................ <br /> ...... 90 P ........ <br /> .......... T -Pj <br /> . ........ <br /> .. ... .. ....... <br /> ........11 1 ........ <br /> .... I ......... ...... <br /> ... .. . ... <br /> -X <br /> .... .. . <br /> . ... . . ... ....... ... <br /> .... ........... ...... <br /> ........... <br /> ... ....... <br /> PQ <br /> X,.X­, ....... ......... ... <br /> .... ............ <br /> . ........... . .. .I ............ . <br /> .... ........ <br /> ............... ........................ ...... <br /> Description of the proTosed project: <br /> 74- <br /> Occupant(s) - Name: Age: <br /> Name: _;'cr2_r-4Z. Age: <br /> Square Footage of Second Unit Dwelling: _,e�( <br /> _t <br /> , �,60 <br /> Year Mobilehome constructed (H applicable): <br /> ..........''. ........... <br /> .............. ..... <br /> .............. .... ... .. <br /> O&M.M. T <br /> . ........ <br /> ................ <br /> X <br /> .................................... ... ....... <br /> .. ......... ...... <br /> ... <br /> .............. ....... ....... <br /> .....................................P....................... <br /> ....... ........ <br /> ............. .. . X <br /> ............. <br /> X ............ . .. .... .................: ....... . ........... <br /> .. <br /> ............. <br /> Assessor Parcel Number(s) Property Size Williamson Act <br /> c� Contract <br /> 0 Yes 0 No <br /> �Property Address: 7Y J_ A�� UZ lv <br /> .. ............... ................. <br /> ..... . ......... <br /> . ........ .. .. <br /> XX <br /> On-Site Uses (Include Ag Crops): <br /> y. <br /> ."X <br /> XX.., x; <br /> X <br /> X ...... <br /> .................................... <br /> X. ..... <br /> ........................... <br /> X <br /> X: <br /> . .. ..... ................... . X .. ......................... .... ..... <br /> ..... . .. <br /> d. <br /> ....... ...............•.. <br /> ........ ......................... . .. . <br /> ........:.::............... . <br /> . . ....... ................ <br /> ......... .................. ...... ....... .... <br /> ............................................. X X., X: <br /> ...... ....... ....xxxxx ...... <br /> .......... ................ -.0. ....... <br /> Service Provider Annex-Formation Distance to Public <br /> Public Water 0 Required Water(Feet) <br /> Private Water Existing Well Or, Now Well 0 Well Replacement 713 ] <br /> ...... . ............................ .... ....... <br /> .......... ................... <br /> .......... <br /> .. . .. ................. <br /> . .. ....... .. <br /> ....... . <br /> .......... ..... . . . . :v::.....................................::::................ ....... ...... X, ... . .. . ......................... <br /> ....................... <br /> ..... ..... ..... <br /> . .. .. .. <br /> ..... .... .................. <br /> ........... <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal El Required Sewer Facility <br /> On-site Sewage Existing Septic System 0 New Septic System X Other 0 <br /> Disposalx <br /> ............................ <br /> ..... .... . . <br /> XXXX'....... X,.0 ... ....... <br /> .... ................ . ...... <br /> .. ... ......... .. . ..... ......... <br /> ............. .............x...........xXx . . ............. ......... . K: <br /> ............. . . ......... .............. <br /> . ..................... <br /> X-X-X:-X.:-X-:: ........................:...... ............... . ............ <br /> .............................. ............ <br /> ............. ... .... ..... <br /> .............. .......... ..... <br /> .............. ........... . <br /> ...........................00 1 ...................'. <br /> .............. . .................................... .............!....... .. ................. <br /> .............. .................................. ..... <br /> Public Storm Service Provider(if Public) Annex-Formation Terminal Drainage Detention- <br /> Drainage 0 Required to: Retention Ponds <br /> Private Storm On-site Retention Pond(s) [3 Natural Drainage/No Change 0 Other 0 <br /> Drainage <br /> XXX .... .......... ........ ... ....... ............. .............. <br /> .. .......... ....;,j*...... ............... <br /> ................:..*.. ::::: '*'**".:::.%..e.:...%...:::.:: ..X <br /> .. ::v.... .. ........ <br /> .. . ............... ..... <br /> . . . ........ <br /> . .......... X <br /> ....... ... . ...... <br /> . .. .. ... <br /> .... .... <br /> ......... .... <br /> OX. X: <br /> .............. <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes 13 No 0 Yes 13 No 0 <br /> V <br /> �, Yes 0 No 0 Yes 0 No❑ <br />