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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SD- <br /> .............. <br /> D- - <br /> ><`<'><> >><>c '.: >« ` > <>:> : >:`>' < < ; <br /> (3N Y TN L�WN i;QF E117 �flQP t A I Jltl iOft ;11Gi)«l�i'I UA #�t.E l�Ait?iti#E�CA'l7Q!# . <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 behalf., and <br /> that the foregoing application statements are true and correct- <br /> SIGNATURE: <br /> orrectSIGNATURE: I certify by my signature that I have read and understand the Second Unit Dwelling Standards: <br /> Signature: a. , Date: 6 — Z — <br /> Signature: Date: <br /> Signature: Date: <br /> Signature: Date: <br /> S1wMift e: Data <br /> STAFF IJS ONLY <br /> bl!"VE!4PNEFlr S iiViCES PU�C'I or E1fVtFiU11I MYtA!<'NLAC YN <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 Feces: 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: Data: By: <br /> Second Unit Dwelling Address: <br /> -3- <br /> l <br />