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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO.: SD- - <br /> TR t31T COMPI 1TIrR BY APt�!tCAtVT pRtOR:TO FlUN(; EiiEJ4PPE ICAT{pt� <br /> Owner Information Applicant Information <br /> Name: ItU OL a 7n Name: I , <br /> Address: �7_ (� 2 lCI gAddress: U' to q t <br /> o.(), � 3 1__C)U/ (11(.i- J <br /> Phone: aQ - 6 - -15*J-:7 Phone: D f <br /> zs z <br /> .... ..... <br /> ;.>:::> <br /> rvposal . <br /> Description of the proposed project: r r CO— <br /> tt 11 <br /> Occupant(s) - Name: M.(h cueAge: <br /> S -til�1 i rc� <br /> 02 <br /> Name: c,f Iv/ Age: 3 [o <br /> Square Footage of Second Unit Dwelling: /1) 00 <br /> Year Mobilehome constructed (if applicable): <br /> PRQPFR7Y ANR <br /> VICINITY pE$CAtPT[Qt� <br /> .r Party ►forrriatlo t <br /> Assessor Parcel Number(s) Property Size Williamson Act <br /> _ R_C-S -306 PT­ Contract <br /> x y y0 -F <br /> Yes �Mo <br /> Property Address: i),-kkql (, ) � Q m <br /> :.;.:.. <br /> f still Efselk: <br /> On-Site Uses (Include Ag Crops): <br /> tJ <br /> SIT!* MP AND <br /> IMPROV V MENTS SERVIG <br /> water <br /> Service Provider Annex-Formation Distance to Public <br /> Public Water❑ Required Water (Feet) <br /> Private Water Existing Well New Well ❑ Well Replacement ❑ <br /> X. <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 /> ix <br /> $}Miq 131A1t7W <br /> Public Storm Service Provider(if Public) Annex-Formation Terminal Drainage Det—dion- <br /> Drainage❑ Required to: Retention Ponds <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change Other ❑ <br /> Drainage <br /> £xtstin <br /> p_loseis <br /> Roars/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> -20' Yes❑ No($ Yes❑ No Id <br /> Yes❑ No❑ Yes❑ No❑ <br /> -2- <br />