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APPLICATION - SECOND UNIT DWELLING
<br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
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<br /> Name: ?A I *• i v Name: ( AIZ
<br /> Address: - �- Address: 3 7
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<br /> Phone: Phone:136
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<br /> Description of the proposed project: 7 'y
<br /> Occupant(s) - Name: ,Q.a 4_ ! tl t�n!,`o S p Age: ,SS
<br /> Name: /�� / G//} <f. JJ Age: �9
<br /> Square Footage of Second Unit Dwelling: �c�c
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<br /> Assessor Parcel Number(s) Property Size Williamson Act
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<br /> Public Water❑ Required Water(Feet)
<br /> Private WaterZi Existing Well New Well ❑ Well Replacement ❑
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<br /> Public Sewage Service Provider Annex-Formation Distance to Public
<br /> Disposal❑ Required Sewer Facility
<br /> On-she Sewage Existing Septic System ❑ New Septic System H( Other ❑
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<br /> Public Stonn Service Provider(if Public) Annbx-Formation Terminal Drainage Detention-
<br /> Drainage❑ Required to: Retention Ponds
<br /> Private Storm On-site Retention Pond(s) ❑ Natural Dralnage/No Change Ya Other ❑
<br /> Dralnagejp
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<br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks
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