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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SD- - <br /> . <br /> �ttiTHi�JI`1 I < <br /> ::.: <br /> m <br /> ONLY THE OWNER 0F.THE PROPEEtWOWAR Utfi AQ�C�'�'�IIA��I.�I�NtT�li'�J lCATFtit� <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 /> ❑ L::gal agent (attach prcof of the o-mar's ecneent 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 1 have read and understand the Second Unit Dwelling Standards: <br /> Siflnanue: D.W: 9 9 <br /> Signature: lDarK <br /> Signature: lDa►IK <br /> fie: Delle <br /> 'STAFF USE OWY <br /> X I�OIPMEINT SERV)CES r�u ucr s E� rrrA� fr1�Ar. 1 ; <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. Well/pump Permit Cl <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 Unrt Dwelling Address: <br /> -3- <br />