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SU0014916
Environmental Health - Public
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SU0014916
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Last modified
5/18/2022 5:17:23 PM
Creation date
5/13/2022 2:41:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0014916
PE
2600
FACILITY_NAME
SD-91-45
STREET_NUMBER
8609
Direction
S
STREET_NAME
VAN ALLEN
STREET_TYPE
RD
City
STOCKTON
Zip
95215-
APN
18510009
ENTERED_DATE
5/6/2022 12:00:00 AM
SITE_LOCATION
8609 S VAN ALLEN RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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Tags
EHD - Public
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1 <br /> qku' Second Unit Dwelling Application Form <br /> r <br /> Part A <br /> SAN JOAQUIN COUNTY PLANNING DIVISION <br /> 1810 EAST HAZELTON AVENUE <br /> STOCKTON, CALIFORNIA 95205 �G� �yG <br /> TELEPHONE: ( 209 ) 468-3120 <br /> (To Be Filled Out By Applicant ) RPECEI V E V <br /> f:OV Jg,� <br /> rr�, JL �t�iU;r,� <br /> COUNTY <br /> RobErt .IC 4-tr SOn Agent of r LAP,!NIP"r DIVIS101\1 <br /> Owner : QM5-kne . j 2 son Owner : <br /> 0 / Address : q65 ;//S cL/C ue Address : <br /> city :�Slqxj ,/wc- City: <br /> State/Zip: C?,_Iif 9S13b-//2l State/Zip: <br /> Phone : CE - !Z64-8675 Phone : <br /> ❑ PROPERTY INFORMATIO,rN� � //� (n� !� <br /> Property Address E3609 5 . V 40 fit( JEN 9d , S��Ljj�� 9 (Y5 <br /> Assessor ' s Parcel Number (s ) R51 —f 0 <br /> Parcel Size <br /> Current Surrounding Land Uses : North !` / v -East <br /> South est <br /> ❑ OCCUPANT INFORMATION <br /> Second Unit Dwelling <br /> Occupant ( s ) : Name JD4N ln <br /> :,> . 4elLcf- Age ( s ) 83 v <br /> b _Lja Etj - HE17-Pr <br /> Relationship to Property Owner P P, N� O/— 0A <br /> Proof of Infirmity or Age Must be Attached <br /> \L- Size of Second Unit Dwelling 99 2) ao-5er.- <br /> Size of Mobilehome /J�jg- Age of Mobilehome N /� _ <br /> Explain how the Second Unit Dwelling can be converted to another <br /> o+' permitted use or removed when/it is no longer occupied bb p rso <br /> 55 years of age or older . C � -� hoz.— res" <br /> Second Unit Dwelling -3- ( 7/89 ) <br />
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