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APPLICATION - SECOND UNIT DWELLING <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> T g GOMPLETFQ BY Tf APpLtCAN7 PR10Ft 1 O It ING THE APPLICATION <br /> _. _ .......,. . _ _ __ ._ ..__.. .. _... <br /> Owner.Information Applicant Information <br /> Name: Name: C <br /> Address: Q 7&9 Address: 7,61 <br /> EACAL016, CALIF !75,590 av <br /> Phone: $ (00 Phone: <br /> ::i::':E`::iiEEE:>EE;isi:: Ep:;`. ? ;:::>::>:.>::iiii i::::ir;i ;:;::.::.:::.::::.:....,:.::.:.. <br /> :::.::::::........ .....::::: >::: pROJECT.b1=SCR1PTI0 >::<<::::>:>: ;:: <br /> ...........:..::::::::.....:..... . N:::::::::.:.:..:. :::.., <br /> .... <br /> Description of the proposed project: pt tA A tj UVAa L,Ap p VAnma 3 <br /> Occupant(s) - Name: C PKLjDs AV)L•,CS Age: r7 <br /> Name: Age: <br /> Square Footage of Second Unit Dwelling: <br /> >:<:>PF?OpERIYANp:Y1CINl CiESG <br /> ..... <br /> ......::.::...:::::.::.::.::::::::::.::.:;•.:;:.:.::>;:.::.::.::::........ TY. . F�tM?TIC? <br /> . N::<<�:: °«:':: <: '>: >>>:::>:�::[>:::::<[»><i>:::>`:::''•: ..... ,> <br /> :•;:.;:.;:.:.;::::::.:.............<...:....... < A o e' for' li ,::.;..:::•::::;;•.:;:::•;:•;;:::::•;>;::.;::.;.;:,:;;::;<. <br /> Assessor Parcel Number(s) Property Size Williamson Act <br /> Contract <br /> Rpm 3 • 7 ❑Yes No <br /> Property Address: <br /> . - > ` ri:•<•;'i::i:i:i::::ir:i: `;iX-X <br /> :;ilit:."i'}iii;?i ;;':i:iii;'.:',<'ii:i;f`: i' <br /> :<• ....;;;;»>;;::; <>>< :;»::>:<:»>:>:: ......:. ..:Existin .Land::Uses •:::<•:.: .;;:.;::.:;::::.::.;:.;:.:>:..::::;;•::•;::::•:....: <br /> 9 <br /> On-Site Uses (Include Ag Crops): <br /> X.X <br /> ::: <br /> ...................... ><><«>:< :<>» S1TE IMPROVEMENTS ND: V C S:......: <€<' >< :> :>':<:>'::<>':` <br /> A <br /> Service Provider Annex-Formation Distance to Public <br /> Public Water❑ Required Water (Feet) <br /> Private WaterlL Existing Well New Well ❑ Well Replacement O <br /> :`i:Sei+va e D s <br /> I oval <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal❑ Required Sewer Facility <br /> On-site Sewage Existing Septic System O New Septic System %( Other O <br /> Disposal K <br /> :.............. ... . ....... ... <br /> :.>;:::::..........:: . . <br /> :..:.:... ... <br /> Public Storm Service Provider (if Public) Annex-Formation Terminal Drainage Detention- <br /> Drainage❑ Required to: Retention Ponds <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change IpJ Other O <br /> Drainage)Q <br /> baits < ' <' > ii<?<:><<»><'» ><fii5?>':»> >> «>?» >> ><'< >?»i»>>><<> 3> <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> W ko-qp 50 e 3.0 Yes O No V Yes O No V <br /> Yoe❑ No 0 Yoe 0 No 0 <br />