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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> APPS IiCi4 <br /> ..............:.. ... >::>;::::;':.;};:. _....... N1'1'A1gR TO in iM'Ki:< APPk�CATiCatK.... <br /> awawlc;k�forin tionA Alcant Inlorritation <br /> p <br /> Name: Gene, p r�O�omQi Name: Marir, Cin Mot 0 <br /> Address: LIS j I BARN oL ty Aei Address: Lrom S• sa r- l own i <br /> S�t a►c 4 s p 1,5 Skoc_k-b a s z l s <br /> Phone: 532 Phone: <br /> 1 >::>>::::>::::>::::>::;:;:::;:.:<:;:».•.....'....: <> >`:`s >» :' >::>::>i::i:::>:::is:>::i::i::ia:>i::ii::iii;:::i:: iii::i:: is:>:<:>:<:iii::i:>•<.:::>>::>::: <br /> . `:i:::iso::::::::::':::::: i::::%:i: :::::::::::::::: : ......I'll.I'll......... .........3....:...............:...........:..... <br /> ............:...................... <br /> Description of the proposed project: TU LAk,- c,Oh <br /> WC��ih O v Liz )e a _6ejo <br /> Occupant(s)- Name: kjF_L E N CohA q Qr-\ �a aNO M6}�tr� Age: '7S <br /> Name: `1 Age: <br /> Square Footage of Second Unit Dwelling: fol <br /> <; >::: <br /> . .:....... ........... <br /> .... ......... <br /> :: Wlatt <br /> Assessor Parcel Number(s) Property Size Williamson Act <br /> I — 0 7 0 — 2 4 a otic Contract <br /> El-Yes ❑No <br /> Property Address: `Sb/ S• I5 AR 4.7e 1r9IJ— <br /> fC�} <br /> .................................................................................................:.....:.... <br /> .............................................. <br /> Onsite Uses (Include Ag Crops): I�JAG�� <br /> :. • :•} <br /> C:h•}:':,:v}}f:'•}} <br /> S.i.t.z.;F::?:ir;y.•..:f. <br /> 3.;.v.:}.:...•.?�}$•.�.v•:F'Sr:.'F.?. <br /> '.r:i.:i:.•.:.}::.^}x.� <br /> ?.:}.?.;t..}.::.}:i}.i..>..}.•.,:}.:•:;.u?F/.....•^r}..v.}}.r:}•....i.?.}m.:•}:.:•}:..ti}:.ff:}r.^•::. <br /> ::x.t.:,'t•.}::.:}:.;:.:.v:i.i<n.:i-.2$:.:i:.:i:.::s.i;i.:.;:.:.:i.;.f:f.:..:i.i.:.:v.::.?.:}:.:.::r:..i}::}:..:}n:.;.;.:i.>.?'t..:?>..4r'..:.:'...6:..•'.}...;.;..'•.i..s..;..;..v.::::i:;}:.}:}:.i}::.:}.i}:.:}:}.i:.:}:.ii:i.:::.i:.::::t.::i:.:::v.:.::.:....:vv.::::::.:v <br /> n.. <br /> .. .:.}.}.}.}.} <br /> ii}:•+�.}.::.�.::..:�.:.:::.:: : <br /> } triiii::.;.:::i:::i`::: v ?..:. w..:...... v:::::::::::::::...::. <br /> i:}:ii?}.:}}}}i:.:v <br /> ......... <br /> :i:i:i•:}•ii:i•:i^v}::4:?:i•:i�}i}:i i}:}�iiiii}:Y:Li;:vvii}ii}:?i•i}i::: <br /> �:::�:::.:.;...:............... ............ .......................... <br /> Service Provider Annex-Formatlon Distance to Public <br /> Public Water❑ Required Water(Feet) <br /> Private Water iii" Existing Well ED' New Well lam Well Replacement ❑ <br /> :..}i iii iiiii;i:.ii:.::.i:.i:.i:;?:::::::::::.:::::::::.::::::::.:. <br /> ix. <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal❑ Required Sewer Facility <br /> On-site Sewage Existing Septic System 8--New Septic System Er__ Other ❑ <br /> Disposal ov- <br /> .................................................. <br /> :..................................f:::::::r:::::::.:•i:•:•:;ti�•}::::::.:•.......•;..:4:.:•:.:: ::v:.v.v::.v.......:::::::::::::::::::::?•}:•}Y•....F•.................. <br /> .ii..:.,...:. }:•i:•}:•}}}isis�::�i::lir.`.?:i:;��:: � :i: vv..::;:::: ::'ii:4:::ii;yi}ii;:iii}}}}r�;?::iii:�:�i:}'iii:•}:•}i' <br /> v:::Q.Vl..... Y� <br /> :•.$:•i::i}ilii}iii:}Y}: <br /> ..`T.:.r�'iari!i::,>•::tiiiiiFt•:ri;}}: ^i::isisiY:iii:viiiiiiii::i:!v:v::i`i}ilii:::is{:::{:'i:ri{:'• <br /> Public Storm Service Provider(if Public) Annex-Formation Terminal Drainage Detention- <br /> Drainage❑ Required to: Retention Ponds <br /> Private Storm On-site Retention Pond(e) ❑ Natural Drainage/No Change L-- Other ❑ <br /> Drainage ED-'- <br /> .t• :.,. <br /> :::.}•;i.;•.:•:;:i}:•i:;.; i:•};:•:;•::::}}i'.}::i:i:_;:;;i:;;iii:;?•};;;::::;:}i};>:•i>:•}>::}>;•.:r <br /> ..... ,.:.:.:::::...:•.... :•ii'::•i:•i::........::....::...... :n:?;:; �::_:a:>»:i:is}:;:�>:.:;:;:i. >:.:�}%•}:•t.:t;::v::i::ii i`:ii'<;:::>:iii <br /> :::>:� < :<»:•>>i»i:;:;:;i:........is i:.i:i::is is iiiiis::s:•i>::iii ii i v:i::....is::i:};i: <br /> Road/Street Name R./O.W.Width Pavement Width Curb/Gutter <br /> Sidewalks <br /> TOL Owl (�D j�• / ><�. Yes❑ No 0 Yes❑ No 6-' <br /> Yes❑ No❑ Yes❑ No❑ <br /> -2- <br />