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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SD- - <br /> .;.....:.;:.;: ....:..... <br /> ... <br /> .. . ..:........:.. <br /> > <' ytC''alb > ;:<::: <br /> >` . ... 1 WN R d HtK PR P # ,RN 1Ci A«C�11'M; 1f JC. Mk�l0.±PJ:I A�tt�C� :. <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: I certify by my signature that I have read and understand the Second Unit Dwelling Standards: <br /> Signature Date: 1 C <br /> Signature: D&W <br /> Signe: DaiK <br /> Signature: DfIK <br /> Signan,re: DxW <br /> .. <br /> :i;:;::::;1';'':E <br /> �I ��y� <br /> 1. Zoning: 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. WelVpump Permit ❑ <br /> Yes❑ No❑ 3. Change Noted: ❑ <br /> 3. School District Fees ❑ <br /> 4. Fire Facility Fee ❑ PROPOSAL DENIED: ❑ <br /> 5. Flood Fringe ❑ <br /> 6. Subdivision History 3. Flood Control Conditions: 4. Remarks: <br /> 7. Remarks <br /> 4. Remarks: <br /> Date: By: Date: By: Date: By: <br /> Second Unit Dwelling Address: <br /> -3- <br />