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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SD- - <br /> XTU <br /> >[< y <br /> YCWNEt,44: #�E Pf�L.PIi 1t+Ate AIV;�ItiYHWi?A+ �t1t Mt1YlE. :ilhlt?AF?i'1iCi0.T147C1 <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 /> ❑ 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: ��� % Date: J. <br /> Signature: ��1 / } -Date: <br /> Signature: Date: <br /> Signature: Dam: <br /> Signature: Dom: <br /> STAFF;USE ONL ...::::::: <br /> bEY LQPW{ENT SEFIYICE$ ::><'.>::>:»:><:.PUBtJC1NOFtK$. . :::ENYt 11N hilt 11..HLA►k #::.:: <br /> 1. Zoning: AG^-k O PROPOSAL APPROVED SUBJECT TO: PROPOSAL APPROVED SUBJECT TO: ❑ <br /> 2. Project meets zoning requirements 1. Encroachment Permit ❑ 1. Sanitation Permit ❑ <br /> for both use and construction: 2. Traffic Mitigation Fees: 2. Well/pump Permit ❑ <br /> Yes fi�r No❑ 3. Change Noted: ❑ <br /> 3. School District Fees <br /> 4. Fire Facility Fee U Rl PROPOSAL DENIED: ❑ <br /> 5. Flood Fringe t�N ❑ <br /> 6. Subdivision History 0-t-�k= 3. Flood Control Conditions: 4. Remarks: <br /> 7. Remarks r3JF b <br /> mu�t�loNS of ��J►.L__ <br /> 4. Remarks: <br /> Date:l A Date: By: Date: By: <br /> Second Unit Dwelling dress: 9(4- VA. {=ZEwaP—T- 1;—' 0• (L,&-t-to pp <br />