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APPLICATION - SECOND UNIT DWELLI G
<br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPAR ENT
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<br /> SIGNATURE: I certify under penalty of perjury that I am(check one):
<br /> Legal property owner(owner Includes partner,trustee,trustor,or corporate officer) of the property(s)
<br /> ix Involved In this application,or
<br /> ❑ Legal agent(attach proof of the owners consent to the application of the property's Involved in this
<br /> application and have been authorized to fib on their behaH.,and
<br /> that the foregoing application statements are true and correct.
<br /> SIGNATURE: 1 certify by my signature that I have road and understand the Second Unit Dwellina Standards:
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<br /> 1. Zoning: PROPOSAL APPROVED SUBJECT TO: PROPOSAL APPROVED SUBJECT TO: ❑
<br /> 2. Project meets zoning requirements 1. Encroachment Permit ❑ 1. Sanitation Permit p
<br /> for both use and construction: 2. Traffic Mitigation Fees: 2. Well/pump Permit p
<br /> Yes❑ No❑ 3. Change Noted: p
<br /> 3. School District Fees ❑
<br /> 4. Fire Facility Fee ❑ PROPOSAL DENIED: 135. Flood Fringe ❑
<br /> 6. Subdivision History3. Flood Control Conditions: 4. Remarks:
<br /> 7. Remarks
<br /> 4. Remarks: ;�—
<br /> Date: By: Date: By: Date: By:
<br /> Second Unit Dwelling Address:
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