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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO.: SD- <br /> ON! . <br /> ....::..::::.;;;:.;: ;:.;• .;: tT. ..._..._.PI ETI=R:6Y.7}3 .AP. ANT:: <br /> :: :i'Sz::>::::::::::::: ;::::::::•::::::................................ !'LLC.....:........_.. <br /> _.....................................................::::::::::.::::::..:::::::::......:............P» :T.::.:.::..aKi. N <br /> Owner Information Applicant Mtormation <br /> Name: I , 1 ' Name: I Z <br /> Address: 1 11 L Address: <br /> Phone: �i.�' Z�' 5�llk Phone: ?JJ r, �' �jCj v <br /> `;' PIC<: :<.>::::> ::<:::::::: ,><.<:.: ,::,':» ''` < > <>' `? € ' '''<' <'` _ `'` ><<'> >'''< '''''><_ <br /> ...:::.::.. <br /> f. <br /> :::....::::::::::::..:::::::.:..::.:::.:.::::::::::. <br /> Xx <br /> Description of the proposed project: <br /> (,111j(AIC11' ,i', , /^L k5g,412q, "o <br /> Occupant(s) - Name: Ub1b /4, Age: a j <br /> Name: Age: <br /> Square Footage of Second Unit Dwelling: /Aoc? =f' <br /> Year Mobilehome constructed (H applicable): <br /> IP::>::>::> <br /> ::::::::....:::<::: <br /> ..R ERTY NtX YtGLNLTY:pIMCRIP. <br /> 713 <br /> P !rLir:;: <br /> Assessor Parcel Number(s) Property Size Williamson Act <br /> Contract <br /> f2 3p 11 f3 b, 32 i Z ❑Yes gNo <br /> Property Address: I _ a C` J1 <br /> <;<>:: <br /> :.:..:::.::.::.;:.;:.;:.;:.:;.:.::,:::.::.::..:. .::::::::::::::.:::::. .... EJB <br /> .....................................................................,.:....,............................................ <br /> On-Site Uses (Include Ag Crops): /, Z AJ-4/ " <br /> MP .O. <br /> «''N iia i >>»> >'< `' - >'` `<`>> `< '> > »< < <'<<> < <br /> Service Provider Annex-Formation Distance to Public <br /> Public Water❑ Required Water(Feet) <br /> Private Water IN Existing Well 11 New Well ❑ Well Replacement ❑ <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 N Other ❑ <br /> Disposal fill <br /> I. <br /> Public Storm Service Provider(if Public) Annex-Formation Terminal Drainage Detention- <br /> Drainage❑ Required to: Retention Ponds <br /> Private Storm On-site Retention Ponds) ❑ Natural Drainage/No Change 4' Other ❑ <br /> Drainage 69 <br /> X. <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No g Yes❑ No-a <br /> Yes❑ No❑ Yes❑ No❑ <br /> -2- <br />