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4PI'LICATION CONTROL SHEET <br /> �q•r • II k `.ii' ti•:+•rl w.h: i .1•+••7 .e... .• .s�sTp,rl., �e�l�.•.-., «.q. <br /> To be eomplaled by Uaralaprueitl.Sarvlce elnfl 1.,. + r: il��,• aR": 1� <br /> G PicApp Ouly: O Yes X110 Far fleaoipt Humber: Date: <br /> File l lsnnbeR D G "JZ- Z Fee: 700 ftocelpl Humben zZO7 Zj Dal' <br /> 3•i6.9z <br /> 4 File Hsrmben Fee: Ilocolpt Fl+rmbesr Valet <br /> File Flumbarl Foot flecolpl flwni+er: Dalai <br /> Doacrifpllen of Pt/o-raci l.l Q A"�1 c^S K ❑�r.L t=L.L1.+S�+ ��L sS � <br /> •!pAL A �i7 '7- IBX 1 <br /> r + <br /> �r"i� I- -fss r %L a psi c= ,a-..l r> Txf 47 a•orwTlo..IA,4 - <br /> ft - <br /> )fcas r vce!-s 3 UNlr Vwt1L.Q cui r� <br /> �s:a ��— <br /> TPtoredLoaaklan:- lc.l65T 5 tt7E aF loo <br /> -1Vt- ,Sr chi oQ A'S t+ srg-cIL <br /> i t �•v an7 �So c.► S— � t� ..l <br /> Address 3 �J 1 S s I�SFE 5 <br /> �� s Cie � z;�ea APllpl: 177-Z10— ZS <br /> Grtiseial Plon Comrnurdly: 5 � -T o, Denasol f Inn Dosignallon: L.,-)P.-i5,-rY K--ES+Dc+�R <br /> Zusdug Mop: - Property Zoning: Zono(r): <br /> Adjacent General Plan Zoning <br /> LeA <br /> SouRtt <br /> Ensl: ' <br /> Well: <br /> '100-Ynot Flood 13 Yes )SCHo WRIlamsan Act d Yes )!E Ho Supervisodel Dlshlck <br /> AUped Asao: c .S SpoaRlc Plan(s) Q Yes '1C Ito: <br /> { IRslory: M R-73-[P-I { <br /> 'lJill <br /> YtJ a P' =4' :t.. ....��Yit��l:�kl. `.�..�--•'.•.'°k•1•".I-�i�;�...... ..7+�.. <br /> F'll? i•" ,tCr'�ECr(f.IST•:•4'l+r'p';r• 'r:n::.••''• Z +"• <br /> AR Appilcollons <br /> Compialed Appileallon Faltna Owners'Signolure <br /> �. <br /> Copy of Dead at PloRmhsnry Thle lleposl• X i Caples of Plan or Map <br /> OX'x 11'11odueod plan or Idats O 11asardous Materials Disclosure Survey 17 <br /> Dovelaprnanl 6poct bRllgollan Fee Fgnn O Assessor and I Rstory Pages <br /> Ifames Llsl' 1] Sewer(1Yeles Will Serve'Lallar' <br /> Oanarol Plan Mop• 13 Zoning Map' 17 <br /> Soils lloparl• Soils Suitability Sludy• cl <br /> ' Tltosa rnoladals play not be soquhod for corlaln appllcallons• Check ilia oppOcallon type los delans. <br /> Tenlellre Paps . <br /> Mots Signed by Owner 0 Tinel Humber and Henle(IdoIor Subs 0nfy1 Q <br /> r • <br /> Sepia 0 AR Lois Ilumbeiad D <br /> 1 <br /> : Coulour Unas O Laeallon at Well and Capifa Sysrein O <br /> I - <br /> 1 Agrlcullmol Ifornosilo Faun p Atfrolning Ptoparly owner:Hama:an Mop <br /> ' + �• Cseavnllant <br /> naclemodon Piro%end Schedule a flnancfar Gimanlee O <br /> ` Typranl Cran•aeepant 1] t MavnSon Cafculallorr Schedul■ D <br /> englnoes's Slump 1] <br /> i Completed By.. ,4rfL tc-fiat � <br /> Onto; r(� Mqu}4 <br /> 1 afy—crr r. in 3-10-91 <br />