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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SD- <br /> ........... . . . ... <br /> .0 <br /> W. .. .... <br /> 4AUni0raWAM a, <br /> m6pam"OnA H-T----*AV :ANWAP0 <br /> .......... <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 /> Involved In this application,or <br /> 171 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: I certify by my signature that I have read and understand the Second Unit Dwelling Standards: <br /> C- <br /> SVUdLM'W M(714,(4 Q, ell-, <_�J � <br /> Da*K <br /> DoW <br /> Signahmac Dow <br /> S$WUdLKW <br /> XX: <br /> ........ . .. .. . . .. ......... <br /> ................... ...... <br /> . ...................... <br /> ... ......... .......................................... <br /> .. .......X.. <br /> : .. ...x: <br /> ........... <br /> .............. <br /> . .... ...... ... ............ ..... <br /> ............ <br /> I. . ......................... <br /> 1 Zoning: Al H PROPOSAL APPROVED SUBJECT TO: PROPOSAL APPROVED SUBJECT TO: 0 <br /> 2. Project meets zoning requirements 1. Encroachment Permit 0 1. Sanitation Permit <br /> for both use and construction: 2. Traffic Mitigation Fees: 2. Well/pump Permit ❑ <br /> Yes Er No 0 3. Change Noted: 11 <br /> 3. School DlWct <br /> 4. Fire Facility Fee'T",-.x 'Ja PROPOSAL DENIED: 0 <br /> 5. Flood Fringe <br /> 6. Subdivision History 3. Flood Control Conditions: 4. Re ark <br /> 7. Rpmarjks, 1c,- / <br /> 4. Remarks: <br /> Date: 3 2)-�76y: ,16F— Date: By: D.t.,.=70 �Z7-By-,l,CW,;�9-.1 <br /> Second <br /> Unit Dwelling Address: <br /> -3- <br />