Laserfiche WebLink
APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO.: SD-j <br /> :>:;;<::»:::>:;:: <.:;>:;:<:;;>;;:::::;<:TR ... OMPt. R>�Y'�H A1'?#: ANT00 TQ.Fl T . .. <br /> TWN.... <br /> ONmer^nformatlon Applicant Information <br /> Name: I I� Te Name: <br /> Address:' j •> > I 1 (�).• Address: <br /> Phone: r —5 Z Phone: (� C�L �j — `� <br /> RCfCTsE} S.GR P l ..... <br /> ............ <br /> `IPr<::«: >: <br /> _ . <br /> Description of the proposed project: 1401AV 10C �, ( 412` <br /> Occupant(s) - Name: - �� ,f Age: <br /> NqIc+2 c+rp A��wts tt�: _ 1 <br /> Name: l= Age: <br /> Square Footage of Second Unit Dwelling: <br /> Year Mobllehome constructed (if applicable): <br /> .P <br /> ::.......::::::::::• <br /> ::. >: <br /> :: «:: : :<: «>: :<:><:<:>::::;::»»:>:>:» oNu;vtclxlnr ascp eno .................. . <br /> o<: <br /> ::::: :..:::::::::::.::::.. ..:.....:.:::::::::.:::.:..;:.::.::.:: :...; Jnr ... <br /> Assessor Parcel Number(s) Property Size Williamson Act <br /> Contract <br /> �l J 6 ) ❑Yes CQ No <br /> Property Address: <br /> >; ::s::i:<%%fiiii: :::i: :>: : s;:>.:<;;i:<>;;`::`z:;:: i>is>i;i>:<i3ii>s;ix<:»»:::i<:><>:;;::>::::>::»::::: <br /> On-Site Uses (Include Ag Crops): ' <br /> `, .. <br /> :....:..:.:.::..:.:::::.. ::.::.:::::::::::..:::::::::::::::::::::::::S:ITl ::1;MPft.:. ..IMN C ..........................:...::.:.::::::::::::.::::::::::.::,:::.::::::::::::::.:.::::..::.:::: :::::::::::.:::. <br /> XX <br /> : i:r:i i°%`i'i°iii'<:i 'S .Siiiic<i%%i Wa er... ...... .... ..... ...... .......... <br /> Service Provider Annex-Formation Distance to Public <br /> Public Water❑ Required Water(Feet) <br /> Private Water❑ Existing Well New Well ❑ Well Replacement ❑ <br /> Public Sewage Service Provider !�7 Annex-Formation Distance to Public <br /> Disposal❑ I Required Sewer Facility <br /> On-site Sewage Existing Septic System ❑ New Septic System Other ❑ <br /> Disposal❑ <br /> ::::. <br /> Public Storm Service Provider(K Public) Annex-Formation Terminal Drainage Detention- <br /> Drainage❑ Required to: Retention Ponds <br /> Private Storm On-site Retention Pond(e) O Natural Drainage/No Change Other ❑ <br /> Drainage❑ <br /> :::f:::::::::2:iii::::: :::::E;:: :::'r:::::::: i?>i: :E:?:::::;:::::2 :::: ::::::: :±::`:::::::.......: p ':isi::;::;:::i?::::::; ::::;;;:i:::: ::±::::$:;:i::;;:::::::;i::$ X. <br /> ;:;:;::::::;E:::::: <br /> ... ,.p:RQ .:. <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> -2- <br />