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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ...:.:.:..... <br /> ..... <br /> >.;:;.:. X BE Ot31i�P1*ETEtf BY:>T#iE APP.I C NT:PA ORT 111 ING THE AP..PL1CATtON .. ....... ' <br /> Owner Information Applicant Information <br /> Name: 1AC G A14 95 Name: <br /> Address: �E R Address: It <br /> 0 1 33� <br /> Phone: C) g f�lt�3 Phone: <br /> PpO.JGTbESCR11�710 :<:::....: <br /> Description of the proposed project: E ,P, x 0 YD13/X d,01Y4 0A/ 4y <br /> i U / FS 4 Ive ZAI 'IL <br /> Occupant(s) - Name: � f y t'iM SS Age: Q <br /> �/ <br /> Name: _�al Yl zt /y,G65 Age: p1 Z <br /> Square Footage of Second Unit Dwelling: o S <br /> calvavlcl.... IsGp� r�orr.. : :: ::>:»:::.;:.::::... <:,::.:..; <br /> ..lh..o..matin#s.::.;:<:;.;;:>;>;:.;:;::::;;»:<::::;::::<:<::;:::::>:;::>::>::»:;:::..:::.::.::::......::..;:.;.:...:..:::..:.:. <br /> Assessor Parcel Number(s) Property Size Williamson Act <br /> ,;t+ d C Contract <br /> ❑Yes No <br /> Property Address: 4_ F F T ? 7_111aP r,4 gs�33 a <br /> ExrsUn 'Land'ULL <br /> ses <br /> On-Site Uses (Include Ag Crops): dlllle!�� / � )7-f77777771 <br /> •v�s, <br /> ..............::.;`::°:.;:.;:,,,:'.SITE I M P <br /> ROVEMENTS AND 5ER�lCES: <br /> :::.:..:.:..:.. .:.:.. ...::..:..:................. <br /> ;.:. ..• <br /> Water.. <br /> Service Provider Annex-Formation Distance to Public <br /> Public Water❑ Required Water (Feet) <br /> Private Water Existing Well fdl New Well ❑ Well Replacement ❑ <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal❑ Required Sewer Facility <br /> On-site Sewage Existing Septic System ❑ New Septic System Other ❑ <br /> Disposal <br /> Storm <br /> Public Storm Service Provider(if Public) Annex-Formation Terminal Drainage Detention- <br /> Drainage❑ Required to: Retention Ponds <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change Other ❑ <br /> Drainage <br /> >Ezstin : X. <br /> Eioads:>.> <'> <>':``:`:'>:<>>>:>::< ?: <>:>::>?> '<_> >:><:`:>'> »<»»> »;;> >:> <br /> 9.............::::...:....::.:::::::::•::::::..:............:.:•:::::::.::::::::::::.::.::::::::::............:::::::::: <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> �✓ T a lv Yes❑ NoZ Yes❑ No <br /> Yes 0 No 0 Yes 0 No 0 <br />