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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SD- - <br /> XXX <br /> .ORMVON TU <br /> :> >::>:>::::. '::::::::::... <br /> :.... >,:. tCI�Y Y E?WN a t! t Y AlV I�1 �iEt s ,tc C#1'.M�1�f C. `AN><T +'t iCJ1'Ott# .::.;:.::.;.::; <br /> SIGNATURE: I certify under penalty of perjury that I am (chock one): <br /> e4-1 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 t:onsont to the application of the proper4y's inva.ed in this <br /> application and have been authorized to file on their behaff., 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 /> Signature: bete: /r/ '73 <br /> Signature: Dalec <br /> shpurbEw- D.f.c <br /> Sigoanre: Dale: <br /> SlIgnat re: Dale: <br /> >w:>:::;>a<: <br /> . <br /> r•::.;::;;:.;:: <br /> .....:..�:::.AB.. <br /> . ..'::..: .. :. ::::.i.i::'is iii:i::ii.i::i.::?.::::::::..:.:::: <br /> .: 1141101. /� ::::.:.�.::::. y�.Yy ...:.......... <br /> .. 11A, FYV .::...... FAV! ,MfMRS1. .. :. .:.:....:':: ..::.. ... 11FI�M.{i .'..'i,:.r i:i: <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: <br /> u <br /> -3- <br />