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s <br /> Second Unit Dwelling Application Form <br /> Part A <br /> SAN JOAQUIN COUNTY PLANNING DIVISION <br /> 1810 EAST HAZELTON AVENUE <br /> STOCKTON, CALIFORNIA 95205 <br /> TELEPHONE: ( 209 ) 468-3120 <br /> (To Be Filled Out By Applicant ) <br /> Property � '�» S' Agent of <br /> Owner : /'})�'K I�), )77l).!-l=K <br /> Owner : <br /> Address : 7-� F7C� AI, E Address : <br /> City : )2219A'TL-"Ci4 City: <br /> State/Zip: rA , e �, State/Zip: <br /> Phone : ;fPhone <br /> (� PROPERTY INFORMATION <br /> Property Address ,�7/75" ),,/I, Z2AgAl7-EC)q <br /> Assessor ' s Parcel Number (s ) 2y 1-16o — Z7 <br /> Parcel Size ,S A1C. <br /> Current Surrounding Land Uses : North East �C <br /> South West <br /> ❑ OCCUPANT INFORMATION <br /> Second Unit Dwelling <br /> occupant ( s ) : Name -6k i Age(s ) <br /> Relationship to Property Owner T -� <br /> Proof of Inf irmity or Age Must be Attached-:.)g) J(cENS1= �SGClf?1 SEcu.evy-/y <br /> )fr/9L7// <br /> Size of Second Unit Dwelling <br /> Size of Mobilehome V f�� Y 4 4Age of Mobilehome AIF&) _ l99•y <br /> Explain how the Second Unit Dwelling can be converted to another <br /> permitted use or removed when it is no longer occupied by a person( s ) <br /> 55 years of age or older . _7-7- 6j/.4.4 AF <br /> Second Unit Dwelling -3- ( 7/89 ) <br />