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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO.: SD-`> <br /> n.:r .....ATHARNT ; : <br /> Owner Informatfolt <br /> Applicant Information . ': '::`:# < ? >: <br /> Name: 60-PI ,JD Aj fir} Name: L <br /> Address: 30 3O1-4 Alone Q RoAr) Address: 3 <br /> T c, C <br /> Phone: R01 Phone: 0109 . $$S <br /> ;.;;:.;:.::.:::.::.::.:::.;.::;.::.;;.::.::.::.:::;.;.. <br /> Description of the proposed project: PL Ac--m,-1r of rt 14^m-F'Ic170RtD 110M(- 3u3J�m A9rH A <br /> rt sccoNo12y Aii L) /iA/a raR41 of //3c4• ONE 3eJro6:n rb be ,q Srupy/S�c�iN(, Room <br /> Occupant(s) - Name: Lqu31W0d-E yBCt?M Age: (oL4 <br /> Name: CArMA4 Lfe>C,9r�l Age:-55 <br /> Square Footage of Second Unit Dwelling: sq. F-r <br /> Year Mobilehome constructed (if applicable): <br /> b <br /> :.::.......a _.e"r.y. rra:vEcI rlrr:ar�sc� :;::::::::::>:>_::>:<::>::<:::;:::::>:>:::: :::::::>:::::::::.;:::»::>:::::::::.: ::...... <br /> :;.. <br /> Assessor Parcel Number(s) Property Size Williamson Act <br /> 1� Contract <br /> t - O 16$ 6 I , ❑Yes N�No <br /> Property Address: <br /> >::;::> :o:>:.> >::»;:<::::>:;»::?::«.:.....:.:.........:r::::::;i:;i;::::c:h:�:.;;•.;.; <br /> Fxir3 ..........:..:.......:::::.::::::.::::::::::::::::::::.::.:::•:::::::::::::::::.:::::::::.:. ::•:::: :.: <br /> On-Site Uses (Include Ag Crops): I <br /> : :::::::: ' :: :: :> < :>ris'iiE'» s > < `... .. ... � <br /> »>s»>s <br /> :. <br /> ... ...... ............ <br /> ..................... :...........::..::.._...........:....:............... ..Wat+ar, .....:......:: :;:::<:<::;:::>:::::>:<:... . ...................................:..:.. .:.::;._.....::.:........: <br /> Service Provider Annex-Formation Distance to Public <br /> Public Water❑ Required Water (Feet) <br /> Private Water tit Existing Well tl�, New Well ❑ Well Replacement ❑ <br /> XX i <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 /> .....:.:.: . ::.:.::.. <br /> ::;::::>::::>::......... taim l�raala .... .........:::....:: ::::: ;. >«;..:> :<:<:<:«<: <br /> .:::.,...:::::::: <br /> Public Storm Service Provider(•f Public) Annex-Formation Terminal Drainage Detention- <br /> Drainage❑ Required to: Retention Ponds <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change 'ii<1 Other ❑ <br /> Drainage <br /> ........ ........:.., ., .. <br /> ................. ..:.. <br /> X. <br /> n:..._.. <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> i <br /> Yes❑ No Yes❑ No Cx <br /> Yes❑ No❑ Yes❑ No❑ <br /> -2- <br />