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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SD- - <br /> .............. ..... <br /> ... ..::::::::...........: ....................................................... <br /> ii'i:.; •::'y}:;•r:ro•:.::>;>s::•::n::;:+.:.:..:. <br /> .. ...........::.::...::::.::.>.::;`::.:::::::::.i:::::':.::::::::i::''i:;:::::::.:::::'::i::i;:;:;:;:,•'''j,••;:%.::•::`•::tt::::'t::i::S:::S::S'•::;::: ... ::....... ..:..:�.::.: <br /> t�NI�Y H 0 NEt3 1H PR <br /> i'ftt�P�Rl1t;�I <br /> SIGNATURE: I certify under penalty of perjury that I am (check one): <br /> ❑ Legal property owner (owner Includes partner,trustee,trustor, or corporate officei) 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: t Date: <br /> / �B114i Datta <br /> Signature: n - <br /> Signature: D fkx <br /> Signature: Datie <br /> StAFF:ISE !t , <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 ❑ <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 /> r -3- <br />