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r APPLICATION - SECOND UNIT DWELLING SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NO.: SD- 3- 3 ............:.:..:::........:::::::::::::::::...:.:...:....:.:....:.. p� (.�.7y u }}:.YY:ii::i::>::.Y..}.:::.Y:{.YY:;::,:.YYY;.:::::.} . ? ':.i:. \!R?T` /tea:?;:isil l:}+,{%::.-----hY Y >: .. :.: TOSIF.�k�>�'#i�.................:........:.:::.... .. 'i't�:�''P#.��A�'�.............,.::.:...:..::.:............................. E:}QOM,P>�'E�itY�'K : :. ..{. :........::::.::::::::::::...:::::.::..: ..Owner;l ormatiori AppllcaM lnforrt►a!(on Name: CV J U p Name: � N C S O V t'�t Address: Address: a c 1�1 L It--I N C p L� � 5 R• oN C 1�Li � S � Phone: a-Q 01 S-L) — a L.n Phone: $C) ....:::::.. ::::::::::::::::.Y}'iii;'::::::::::::...........:.;.......................:::;:,:;::;::::•:;<>;:>:;•......::';;::;:>'•::. >•::. ......... ....... ......................: ...fi.v:::::v:Y'Y:•:{•YYY:ivvY•Y:{;�i:ti{t�:�:`vi:�i:•::�::::::...:•:::�:�•.:....:::i:v:�{i';+::�::::::...;;:•Y"+!:�: 4:•:{}:�}ii:!•YiY:vYY:{:::Yiii}Y;LYiY:{?vYiY}iY'Y:{i•Y}:.?Y•:::::i.:.:r:.}::::•:::: .......Y......... ..; ...................... ......::•:::::w::::•:::::v::i'�iY};YY:4:v:4YYY::•iii}Y:{{4:JY:{•i'•Y:•Y:i:.�: :. A. .. i:;:;:'f.iii:'viM1i ii':iii iii:::<i::ij�:j+:?ilii:: ''S:k4i:d��ii:ti{:?{:iii}ii:C'i>ii::<}:i:i iii ;:i''i:::{:iii:?::}:''f<i}:•:iii''ii:^>iii`+iii i::`:�i�:iti'?;: ::::::::::::::'w::v::::::::::::::::::••:}::::::::w.�::;....::::Y'::v._::::::::::::::w::::.�::.�.}i}:O:•YYYiY:ii{;:i;:•w:v:?�"•Y?;ii:::••:.. ...:..........:::::::::•::::::v:::v:.�.�::.�:.�Y:.�::w:::y:::::.i'Y:?w::::w:::;;.....•.•;•v.:...,........' ....v......::xi.i':::•.YY::Y:• ::::}::::::::::.i'4:•i:•Y:4i:•}YYY:.................................................:............:::.:: ........... ........... .v...v..........................:..::.::•:::::::::.�::::�:::::.}i..::::•:.•..:.: .i:•Y:A<ii ilii:?i0ii::Y. Description of the proposedproject: Co t,,SN t;W �'►`� �r�.0 Occupant(s) - Name: Age: �p y Name: Age: Square Footage of Second Unit Dwelling: 3 Q(7 �' r 1 S h►v QC 9 8 y s Q FT Year Mobllehome constructed (if applicable): ............ .. ...................................................................................................... ....... .................. .•YY:•YY:.;Y:•YY:•;:.:;ilii:�:<:>:•i:•>Y:.Y:?.Y:•::•:Y:�::�iY::•i:•YY:•Y�::.Y:Y::•Y:•Y:::•i:•i:•::}:.}:... ;Sii:asz:ilii:::%•isz::{.Y>::<>::<:::::>.:>iiiiizx :."...11T. _,,:iRMP! . <or ::: ....:.::..................................... . .................. . :< :::::::::................. . . ... .............:...:. Assessor Parcel Number(s) Property Size Williamson Act Contract es 0N Property Address: a L{ $ $ S F(Z C. G Q C k Q 40 0 J Q oI S 3 to Ly ............................... •i. �:: :.:.::.'t11E :<# •.`•. ` ii ° ?` 5 `??1111 ?# %% '` On-Site Uses (Include Ag Crops): D,q G- — 0,L o —A S :;11 >:.iii}:.}.•.:::Y:.iii:.Y>:•Yi::i::i:.;iii:•>:•;}>i:;>:::;iY:;.;i::i::iY:.::iYi::i':ii:�i>iY>iii �. z::;: S. ;<;:z::: 11:;: ;; �k + :..: ,� ::::::::::::::::::::::............:::<::<s:i::Y>:;:i::i:;:i;:.::;Y':iii::. .<:ii:{:i:?:::i>::i1lV�......... Service Provider Annex-Formation Distance to Public Public Water❑ Required Water(Feet) Private Water Existing Well New Well Well Replacement ❑ ........ .......................................... ...::w:::r........ .. w::•:v::::.r:?...::.�.�:v.4::::::::•.::..,....N..};•i:?{4Y'f.^:i{?vYYY::v:vi::+4:::::::..........A?:......... :.:•.... {::i;:};ii>Yi:•::ij;:;::::•::i�i:•ii::;:::::i invr{:•,:::',.<:; ::f{•Y': %:::i;;.:i:;';::fi i+•<;ii:?!:ii::::;i::;k;:ii:;}:i.+•;:::ii i;:i;:iyy;{:::i:.....l. v}i:{•`}YYY:{{•}Y:•}Y:{•Y'{•iiY:•:::::::.::n..... .:...:::::::•�...:..v............?:....:.. .....:...::::::w::;r•..:::::•:::::::::::::.:.YY::v:::::::::w:::;:v:YY::v::::':•Y ti�:'::::.:.::::.•.•.•.•.•::.'....:.. Public Sewage Service Provider Annex-Formation Distance to Public Disposal❑ Required Sewer Facility On-site Sewage Existing Septic System New Septic System Other ❑ Disposal ::::::.::::::i:::::::::::::.::::::::•:::::::::::::::::::::::Y:•Y:::;:i:Y:::;:•;•:::::::•:• :Y:Y::i;i::Y:::;:::::•:::.::::::.::.:.:.....:.:.:.•:... ..:.: :: ...Y: .. . ::..: •::::::::..::::.::::::.:.:::::: ..........::?:•:•: ::: .. :•.. :.: ::::: `5::::: : IY : Public Storm Service Provider(if Public) Annex-Formation Terminal Drainage Detention- Drainage❑ Required to: Retention Ponds Private Storm On-site Retention Pond(s) [3Natural Drainage/No Change Other ❑ Drainage {L'1 •.`....•..o E%' `;r�' #'•E'• '%.•`•'%<%E'.'•''••'•#`' E'•2•{:E ? >E<t'•f'• E'•E'•' �•:::::. ::::•::::::r:::::.::::.:;:: ::::::::::.:::.: i •:? .................... Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks �AG�'G 4 Lk 4 v c+-o'� Yea O No Yes E3 No Yes O No❑ Yes O No O -2-