|
APPLICATION - SECOND UNIT DWELLING
<br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
<br /> Y
<br /> P�i
<br /> ' t.�41i I: ltpR:TC...Fl
<br /> ,:::.::....:..:,..:................:........... .....:.......:..:.
<br /> a,t�wrwr:kffornfation pp
<br /> pllcattt informs uwt
<br /> Name: M�—\,, A—QD Name:
<br /> Address: t r M yJef Address:
<br /> ,4 S3 'V-4>'JCHO COO✓A- OA �o1
<br /> Phone: Phone: 6 1> b
<br /> h.
<br /> `'<>
<br /> �.
<br /> .:::::::::.:.:!i::::.::::.}:.;:::.;;;:;.:;isisis4:;;•isisis�;}ll:l:;;:} >:'>a:}::<»:::
<br /> :.!:::;.::::.;1:..::.....:..:...... ...:,.:............:...:.......:....................,....�?.... >'t'IO. :{::::;::>:«:::»::>:::<:»»::;:::i:;<:k :i::;:;.l:k.i:iii:il};:;t<ii::;:.::i:;:i>:::k:i:k.i:>:;<:>.
<br /> l:!{
<br /> ......
<br /> X .
<br /> 4:;;:�i:::::!•ii;:•;:�i:�i::�:i}1.>:is is ii:�::•;:•i:;•ii:i:.ii:;•:�;:i::i: .,...:................:..:::::::::.1';:::r:::•,:::,•{:.::':.}::.:..:..}::.}.::.,}:.:<:•
<br /> ..:::::::::::::::::::::::::.:.::::::::::::.:................................:::::::::........... .�+�..�........�:;:i:::i>:.;:�i:i:�:;;.i:!!.::is is i:t.:t::;:.is is i:;:.:•.�::..:.:....:::::.::.:.::.�:......{.::{.::. >...
<br /> n•::.{... ........................::.�:`::::.�.::.
<br /> k::k:i::`•i f:::i;::iii if::i:i:f::ii::i}::iii::i::i i:_::i'k:•?::fi::i::;:::: %;:}i::i:i:i:r>":`;i:;;:;:?:;:':'t::`::':;:
<br /> Description of the proposed project:
<br /> Occupant(s) - Name: ,z d-1C.q—= MDQ d 0 Age:
<br /> Name: v cj--- 1 f� /v I �� Age: Z�
<br /> Square Footage of Second Unit Dwelling:
<br /> .............................................
<br /> ............................
<br /> ...............
<br /> ...................
<br /> .::::................................ ... .. .y .�:.� �. .. :� /��y�y �.;i.c::i:::kk`;:•}:::;::;;:;:;4:i;o•::Z.. :.+.2•::::::::::ti:!;.,:{$;;}';k2;4:�
<br /> ................................ .............:�:::._..:. ...� �flllil�ll AIR.......... ....................................h.. ,.,......
<br /> ��y
<br /> '?y:i:�:�........
<br /> Assessor Parcel Number(s) Property Size Williamson Act
<br /> Contract
<br /> -S 7ZZd � r67 ❑Yes o
<br /> Property Address: r,j -��
<br /> ...............
<br /> v<:::ka::k::i:: }):•i:;•iii::::a:>}ii:.}::.tii:i:i:. c:+'•is::{•:{:::::::{ii:;.i:{.;:;<:;:::::: •:: ..
<br /> ::::::::..:.......::::::<:.i:;; is is>:;.}:.;:•.; :::::..::::•::::::::::::::::::::::.
<br /> .)'.:�'::;{�:;•:!:•ii:is>:{<.l/:4i:•i:ai:is is iii:;<?::._::::::;:•�•:<::•:i:.}�::'{{:..::1:;<.i'};<>•1:�:;•:•.,;
<br /> )
<br /> Or-Sfte Uses (Include Ag Crops):
<br /> : ::::.:.:::..... . ::.::. .....
<br /> .........:........}:::+v::iv}}:.... ,.,.....:..:.:. „..k,. .u..<..£.a:}:?{'{{},.{kt•�xr:,'t•4.::'P:i;;3.i:;
<br /> �::::...................,::•::�.i:4}i:!24:i;^:,•�:v:..:v:.::::}:;^)i}:;•}:t'l.;k:+,{;5::..::�:�:�..::............; �:�:......':'.::':'::'. n}: ..h....... Z•.� .�vuv:v'•x�kUY>�.: .h..,.)... ...•$...
<br /> :.<:a::;•.w;•..::::::::::.:..,. .6...,... ..2{:•.2,:..x,:xt;q^,..{.:•ra}!k:i:k•`:c':„�f;4}'::'k{:§tib
<br /> rik}::•}}:•}:•C::.,•:;:.........,. Ch{.x..,,..•: 2'vv„v:C. .;\..::
<br /> :. .............. .....:{x}?).y,:::4.•.::i:.,y., :4}h:'+i:<:'i'r,<•:..v...
<br /> ::::::.}iv;:j;:;;:fi:k•{:k2;?\::k:f$i}}^:i:•:4}}:v:::.�::}}}:{{.i;:.,::4x.i:•:4:):.:..y:::. .. v...:n..............v....,v:.: ..k:,v.{ ...5....
<br /> flii>:.;1:•i:.i:.;:;•:{t<::: •isk;:::;.::..............:,.::::::::!.):.1:.::.: .�i�i1f�K7���`,�.h:2{..::,.: ::: :. :•:}:�•}{:>i::i:kz�:i:.}is.... c
<br /> ''Yi:ii:k: i::'k>::::!`::1:i::i::i::i:: : :i': ::i::ii<{
<br /> .....................
<br /> ..........,.::.,:., v-.,::::.,,+ ,;.;.,:.,... :...............................,,:.::::::.:........:..............:::::.:,::..{>:2»:i' ii:>:>:�:1:>i:•:;i:�:.ii:�:._.>'::::::.�.:�....
<br /> ,..r. .....................{. ... . ................n............ ... ..:.n;2i:v:L•i
<br /> " .:......................................r.........,.... .........................7.2.1.......♦,..k.
<br /> ::::.......v:::::.v::::::... .. ...........................................,.......,.............. .......... ....... .t.....r......
<br /> ...............................v.\•})iii}::::::)):}.�::}::}}:;.:�:}::::.:�::::::::�: :::.......
<br /> Service Provider Annex-Formation Distance to Public
<br /> Public Water❑ Required Water(Feet)
<br /> Private WaterNi Existing Well New Well ❑ Well ReplacemeX-axXnt ❑
<br /> <>:i:i::ii:>:ii:::r::i::>::i: <:;t::.i'.i:.:o: }:iii:.i:.ist:.i}:t{<:;•i:.;:{•;;:ox.:<.>:;.>:t.:::'t.::::::::.::::::.:::::::::::.:::...... ::::..:.............................................
<br /> ,.....r .. ,.....n.................... + n. ...h...,h.....n..nv h...m..v.♦.S..S.n........... .'4:.v.
<br /> XX: .... ............... .....2,..:... r:..r..}......r.......}...,....rr.....,.....:..........h...... ... ..,, ......,.. .�•
<br /> ,,ti..,:.,....�................. ..h.. 5.
<br /> Public Sewage Service Provider Annex-Formation Distance to Public
<br /> Disposal❑ Required Sewer Facility
<br /> On-site Sews a Existing Septic System/)('
<br /> ystem ,)Q New Septic System ❑ Other ❑
<br /> Disposa / \
<br /> Public Storm Service Provider(if Public) Annex-Formation Terminal Drainage Detention-
<br /> Drainage❑ Required to: Retention Ponds
<br /> Private Stor On-efte Retention Pond(s) ❑ Natural Dralnage/No Change Other ❑
<br /> Drainage
<br /> .2.,....., i.,:v..v}::.v::•.,2k-:$.:•.:t..,.;..r........ .............../:�::}?:::::::::::+::�1:v:r:::�:.�::.:.:...:::::.; --:�.�: .....:::.:.,i.,:".:�:::.�:::::::�:::::r..::::::::.��:/�+:�):i:�i},'♦
<br /> .....S:x1..::i::::.is'}}i::;4•::!:......v.......... ...,...... .... .: k,:•::.:.....v...........,.1:::.t::"::::...v..:..::!:!?i.i�.r..
<br /> ��'�':�':�':..: ::•:}iii:..:..�:.:v.4y}i)::•\'{::':..n
<br /> • .......}}:':ilii}}.,.{,::.,i,).::::.:�:::.'
<br /> ................................::.....
<br /> .....................:....:.::::::...........
<br /> ................................................
<br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks
<br /> QST Yes❑ No Yes❑ No
<br /> Yes❑ No❑ Yes❑ No❑
<br /> -2-
<br />
|