Laserfiche WebLink
APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ............ <br /> .......... .................... <br /> ............................. <br /> X" <br /> ............... .. ........ .......... .. ......... <br /> ................ . ............. <br /> .......... ............. .. <br /> ......................... <br /> .......I .. <br /> .......... <br /> ........... . .... . .... <br /> .......... <br /> Name: Name: <br /> Address: e « Address: <br /> Phone: 0;_7 Phone: <br /> X, <br /> ... ....... .. <br /> . . ... .... <br /> . ......... ... <br /> . ......... ...... <br /> ......... . . <br /> ...... .... <br /> I ..... ... ...... <br /> . . ........... <br /> .7............................ .. ....... .. .......................... ........................................ <br /> .......... <br /> ........... .... ........ .. ....... ........ <br /> ...... ........ .... ...... .. ..... ... .. <br /> ::>:<:>::>::::::::::::>:::r:>::>:::> ::..... ........... .. ........ ... ...... ....... <br /> .. . ............... . ....... ... .. <br /> ............. ...... <br /> .......... <br /> ........ ..... ..... ....... . ................ ...... <br /> .. ..... ... . ..... ...... .. ..... ........... <br /> ... .......... ...... ...... .......... .......... <br /> .....r.....f ....... ......... ........... <br /> .................................. ..................... ... .... <br /> .................................. ...................... <br /> ............................... <br /> Description of the proposed project: <br /> Occupant($)- Name: Age: <br /> Name: Age: <br /> Square Footage of Second Unit Dwelling: <br /> ... ...... <br /> ..... . .. <br /> ..... ... .. <br /> ........ Pow.T <br /> X <br /> .......... ......... ..... <br /> .... ...... <br /> . ......... <br /> .. ...... .. .. ....... ..... ... ... <br /> ............. <br /> ............. <br /> . .......... .. .... ..... ......... .. <br /> ... ............. . <br /> ..... ........ <br /> ............ <br /> "loom <br /> ................ . I .................... ......... <br /> ... ................... ................ . I .. ...... <br /> Assessor Parcel Number(*) Property Size Williamson Act <br /> L-5�) Contract <br /> py, 0 No <br /> Property Address: <br /> ................................... <br /> ..................... ............................ . . ............. <br /> A <br /> RM: .......... <br /> .... ....... <br /> t..X ............. <br /> . ............ . .... <br /> On-Site Uses(Include Ag Crops): Z.4 <br /> .... ................ ......... .................... <br /> ........ <br /> . ... <br /> .... . .. ............. . . ..... <br /> ............... ........ ... ... <br /> ........... <br /> . .... ... ... <br /> ............................. <br /> X.. <br /> ............. <br /> .............................. .. ......... ........... <br /> ... ........ .� :.. 44m:1: ... <br /> ... .......................... .. .............. <br /> .. ..... ... .. . ............................... ............ <br /> ................................. XX <br /> ..... ...... ...... <br /> ..... ...... .... . .......... <br /> mm <br /> . ..... ... . ...... . ...... . .......... .... <br /> ... ... .......X. <br /> .............. .. ...... ...... ........ <br /> ......... <br /> .. ........................................ <br /> .......... <br /> . .... ... ..... ......... ... ...... . .. .. ..... ..... ... <br /> Service Provider Annex-Formation Distance to Public <br /> Public Water M Required Water(Feet) <br /> Private Water x ExWng Well X Now Well Well Replacement 0 <br /> ............. ::,:: .'." <br /> .1................. <br /> N XM .................. <br /> X <br /> X .W <br /> .......... <br /> D W.0d.': <br /> ............ <br /> ............ .. <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal 0 Required Sewer Facility <br /> On-site Sewage ExWng Septic System* Now Septic System 0 Other E3 <br /> DisposalA <br /> ... .......... <br /> ........ ...... <br /> X <br /> ......... <br /> ........... ......... ............. <br /> .............. ......... <br /> ......... .............. <br /> ......... .. ......... <br /> .......... ........ .. ...... .. ..... <br /> ............. ...... . <br /> ........... .............. <br /> .. . ..................... . .. . <br /> ..tel;.}}}}??}}:?:....... <br /> Public Storm Service Provider(if Public) Annex-Formation Terminal Drainage Detention- <br /> Drainage 0 Required to: Retention Ponds <br /> Private Storm On-aft Retention Pond(s) 0 Natural DralnagwWo Change Other 0 <br /> DrainageA <br /> .......... <br /> 0, ..... ......... <br /> X................... .. . ...... <br /> . ......... <br /> ... .............. <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> —//0 — Yes <br /> 17T-7Q. 0 NoX Yes 0 No <br /> Yes 13 No 0 Yes 0 NoO <br />