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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMEN 1 DEPARTMENT <br /> FILE NUMBER: SD- - <br /> ;: : <br /> w <br /> AUTMC 11`7A . 810 A'TUHES< <br /> } <br /> RLY W <br /> THE::ONER aE.THS PRO.Pir <br /> . K., AN AUT.140 >ZEU AdMr IUTAY�It.t»ANq APp1lCA CtOf 1 <br /> SIGNATURE:: I certify under penalty of perjury that I am (check one): <br /> Q Legal property owner (owner includes partner,trustee,trustor, or corporate officer) of the property(s) <br /> / involved in this application,or <br /> 0 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: a&�_ Mo 1.4.U.0 Date: Yl 71 Zet <br /> Signature: Date: <br /> Signature- Date: <br /> S[gnatiure: Daft. <br /> Signature: Date: <br /> _.... STAFF:tJSE Ot1LY <br /> DEVELOPMENT.SEfMCE3 PUBLIC WORKS EN1/ifi01'17AWAL1tE1UTH <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 beth use and construction: 2. Traffic Mitigation Fees: 2. Well/pump Permit ❑ <br /> Yes CY No❑ 3. Change Noted: ❑ <br /> 3. Schcol District FogsEi(g f Qt7 <br /> 4. Fire Facility Foer `r ,! Cl PRCPC;AL DENIED: ❑ <br /> 5. Flood Fringe C ❑ <br /> 6. Subdivision History 3. Flood Control Conditions: 4. Remarks: <br /> 7. Re arks , <br /> C2 <br /> 4. Remarks: <br /> Date://)) By: E / Date: By: Date: By: <br /> Second Unit Dwelling Address: <br />