Laserfiche WebLink
f <br /> APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPAR MENT <br /> :::<:»::>:«:>:::;':::; P . CAN .R Qffi.fiC1: 1LINGTHE A.PPL1CAfifc3N <br /> Owner Information . Applicant Information <br /> 7 C . <br /> Name T �c Name: •-T <br /> Address: -3p5-j E. Af 914,st,n A,/ Address: VJ• <br /> r <br /> c/} <br /> -- 15-40 <br /> ����. t G <br /> Phon �t � -/p 3f— l -40 Phone: 9g2—\j — (`--t"( <br /> Description of the proposed project: <br /> Occupant(s) - Name: dy- 7_1 wkAA09-E Age: <br /> Name: Sic'o-`Ey Age: <br /> Square Footage of Second Unit Dwelling: <br /> Ef�lY.. :YJ.CI#1ITY:.q. &C.Ea,pY.::.: <br /> ..............................:.:::::::::::::::::.:: :..n a 9f1�...Pl►.::>::::>::>:<::::z:::>:?<:?:<:E:>x;>::;:<rig<::>:E:>E:<>:P:::i:;:.;r;::pi<: <br /> Assessor Parcel Number(s) Property Size Williamsc n Act <br /> Contract <br /> ^ ❑Yes ❑I No <br /> Property Address: `5 ` `tea (J �� UDD i CA C?51 <br /> ::;::•:;:::>;:::;�;;>:•;;;;;;:•:;:.:�:•:;::.;::•;::;•;;:;•:;; >;::>:><:»•:.: �xistmg <br /> On-Site Uses (Include Ag Crops): Re5'pEWGE ' �f►�*tl�� <br /> PF�QVEMENTS::AND.SEAYI.. ... . ,.. <br /> ::::::: ..... >...: ...;> :> ::«:<:> <br /> Service Provider Annex-Formation Distance to Public <br /> Public Water❑ Required Water ( eet) <br /> Private Water 13Existing Well>iir New Well ❑ Well Replacer ient ❑ <br /> ............................::::::.:::::: ....::;;::;:.; ;:::<:i:::2:;:::::: .... oval::': ::5:::;::+;::::::: :::".:::<::::'::::<'::.::'' :is:?:::::,<::>;: <br /> ;:.;:<..;:.;:.:;:;::.>;;:.;:;;.:;:.;:.;;<.:.:;;:.::;:.;:;.;:.;:.>;:.;::.>:::;:.::.;:.;;:.;;;:.::.:.......:..; :.;:.; Sewage:Dls <br /> P :.. .... . :... <br /> Public Sewage Service ProviderAnnexexRequired Sewer o Public <br /> -Formation Distance t <br /> Disposal❑ acility <br /> On-site Sewage Existing Septic System ❑ New Septic SystemOther ❑ <br /> Disposal❑ <br /> ;:.;:•::;;:;••;;; . <br /> Public Storm Service.Provider(if Public) Annex-Formation Terminal Drainage Deten ion- <br /> Reri.Ored to, Rntnrtin. Pnnrie <br /> r)rnjnnnP n <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Chang Other ❑ <br /> Drainage❑ <br /> :;i::isi:;i:::i;i:::viY}:Lv':p:^?:LC:<•y:•i}:v:tri}::•:.�::::w::::::::•........................ <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Side elks <br /> L10( Yes❑ Nok Yes❑ No <br /> Yes 0 No 0 Yes 0 No 0 <br />