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APPLICATIOU CONTROL SHEET <br /> ingr ' <br /> �' € t=a < a3Y', B�a cern Ee(e Bve�tlpmofit S'nrv�ce,sEbtlsr � F� ' c� tt <br /> ProApp 0111Y. O Yoe 1 0;,;Q-E i Foo: nocolpl Number: Data, <br /> rile tiumb,,:'L A-q./ ` `. Foe: q 60r- n*colpl Number: Dole:q�21 f 93 <br /> rue Number: Q.' roe: nocolpt Nwnbae Colo: <br /> Flto Nurnbor: ` Foo! nocalpt Numbor: Data: <br /> Caacrtpitorr of rro)act L DT L 1 N F_ A-D J V:5r N1 E 4 T <br /> mo+lE' ExysT1%1(, SAAA,tL TaTtcE(. <br /> Ari'-?�RoK. !SCo Fe ST. <br /> Pro�eclLocntEon: 041 1-1+F 14OICTWWF-ST Co7LY1E'It 14jc8a7• AV£F1uF- <br /> �4Nb Yh�R�1SE 14vErJ�"� �r45T al= TR��y <br /> Address: (a551 W• r4KORTZ WSOUG <br /> QR,�t:y GI\ 453°6 APN(): 213-0170 U 3 <br /> ltenornl Plan Cmnmunlly: ry Eanotol Men Designation: �I G <br /> Zonlrlg Map: UYVA j Woad Property Zoning: A-&-40 Overlay Zono(a): <br /> Adjacent General Plan Zoning <br /> fNf-X AL AGTeIcyCTV12t& <br /> It rr <br /> South: <br /> r� <br /> Ir rr If <br /> East: <br /> -wo-yont Flood es 0 No Lsr <br /> lliamson Act W<.. W-IN-11 Suparvlsorlal Dlstflel: <br /> Airport Arco: N eclllo f ian(s) O Yes 13 No: <br /> lus,ory CCqD (o, aP 4f s LS Wbo <br /> it Ki ycr tpz3 �'e� <br /> ,t r <br /> 1111 Appllcalione <br /> Cornpialod Application Fomrs 1D� Owners'Signature <br /> Copy of Doed Or Pronrolnary Till*nepoit Copies of Flinn or Map <br /> OY•x if*noducod Ilan or MapIrl Hazardous Mnlorlals Clselosury Survey L] <br /> Covelopneent lr'rpact Mitigation foo Fann 1] Assassor and History Pages <br /> Nnnras L1al` MoIr TZSCUU ltb C]_-- SowerlWalor'yy111 Servo'Lotter• b <br /> 001101st plan Map" O Zoning Map E] <br /> Solis nopott• 17 Solis Sui,abllNy Study' a <br /> Subsidence Arca 1] Yes El No Expensive 9011 Area d Yos O No <br /> • 1ltasc nratednls may not be wqulted for certain applicaiiona. Chock It's appllcagon typo for dolalls. <br /> Tcntntive Maps <br /> Map Signed by Owner IY Tract Number and Name(Mnlol Sube only) 13 <br /> Adjobiing I roporty Owners tfomes on Map All Lots Numborad <br /> Contour hies d Loeallon all Wall and Septic System f3 t <br /> Exeavnll*ns <br /> noclmmallon Plan and Schedule b Fhmncinl Ounronlos O <br /> Typical Cmmsocllons Q Elevation Colculnilon Schedule tl <br /> Englnoat's Stamp 17-7 <br />