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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SD- - <br /> aN («: ........ <br /> :: <br /> :;::>;:;:::. ::: >..: <br /> tiNL THCOWIJr.i Q t�E>�ROp�I'.....* Al'111LR 0.Ra �A(MN'1'l 1'1C F1LE ANI *APPU0A'17QC,1 <br /> .:.:.....::::.::.::::::::::::::::.::::::::::-:::::::::,:::.::...........::.:..:...:.::::.:::..:..,. <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 /> ❑ 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 behaff., 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: L' Date: <br /> Signature: Darla 7/ Z�•'�� <br /> Signature: Della <br /> Signature: Dow <br /> Signature: Dsita <br /> ti <br /> �TAIf ;ti; OTS 1t........... ..... .... . <br /> ..... p 1►E1;dl�ItEI.....l►ICS.S.::.::::::::::.::::.::::...::::::::.. t1......:..::......:.........:::::::::::::::::...::::. :.::::::::::.:......................:.:: ...:.: :......,,:.::,.:..:::::.::::::::::. <br /> _. ............................:.......:......:.._........... ............................::........................................................................................... <br /> 1. Zoning: G'4 D 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 �1�yLi, ❑ <br /> 4. Fire Facility Fee�)� /�,,,�,/,tu,, ❑ PROPOSAL DENIED: ❑ <br /> 5. Flood Fringe �❑ <br /> 6. Subdivisio History_ 3. Flood Control Conditions: 4. Remarks: <br /> 7. Remarks-07, Zr,s, f)pl ;.-4;,{! � c <br /> 4. Remarks: <br /> Date-q-0-93 By: i / Date: By: Date: By: <br /> Second Unit Dwelling Address: ;777�/ <br /> -3- <br />