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APPLICATION - SECOND UNIT DWELLING
<br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
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<br /> Owrwur>Yifo�tinatfcrt Appllxsant irrformatlort
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<br /> Name: Name:
<br /> Address: �,Z C( �jK Address:
<br /> Phone: s S Phone:
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<br /> Description of the proposed project: 56Ce
<br /> Occupant(s) - Name: Age: e�y
<br /> Name: Age:
<br /> Square Footage of Second Unit Dwelling:
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<br /> Assessor Parcel Number(s) Property Size Williamson Act
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<br /> Property Address: ITIZ~1� Q1' 696✓!/6V-
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<br /> Onsite Uses (Include Ag Crops): x9xk�T AAV
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<br /> Service Provider Annex-Formation Distance to Public
<br /> Public Water❑ Required Water (Feet)
<br /> Private Water❑ Existing Well New Well ❑ Well Replacement ❑
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<br /> Disposal❑ Required Sewer Facility
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<br /> Disposal❑ 1 ��
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<br /> Public Storm Service Provider('rf Public) Annex-Formation Terminal Drainage Detention-
<br /> Drainage❑ Required to: Retention Ponds
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<br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks
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