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APPLICATION CONTROL SHEET <br /> ,:,i , ;: Tq b$ci?injtlatol(by p.uoo(opmarij Scrvica plaff <br /> ProApp Only: ❑Yes No Foo: Receipt Number: Dole: <br /> Filo Number: 2_ Foo (-&O,po Receipt Number: J1V Data:-? �3 <br /> Filo Number: Foo: Receipt Number: Data: <br /> Filo Number: Foo: Receipt Number: Onto: <br /> Description of Project rY1 rF 10 tt ITL.13 Owl C.AA) 70 h1rjf170 t4 1 '7 3 A c <br /> PAfZcaL Iw7,3 2Q L,i < C gP :g Iii alT_r( i c <br /> FO>Z L el r-r n t Gvr n 3 e•�+tea !sy C g leo c d c i,Lj 4, <br /> Project Location: (,V k S? f(n r O!' c'7 Ksnr r Yv c - <br /> 'roc - <br /> Address: <br /> APN(s): <br /> General Pian Community: S'Tv c-[< ry General Plan Designation: R f-S tDhwrzN-� LrJ 0,5Ki <br /> Zoning Mnp: Property Zoning: rZ .Lt Overlay Zono(s): <br /> Adjacent General Plan // Zoning <br /> North: <br /> South: r r 1r I -(A <br /> East' r" - rt y <br /> /L I <br /> West: 0C-KT-0vV .S7oc icTDr,,l <br /> I00-Yoor Flood ❑ Yes FT,No Williamson Act ❑ Yes Tjj No Suporvlsodal District: 3 <br /> AlrportAroo: j'7uclRury IQ SpecificPlon(s) V'Yos ❑ No: 571 — <br /> 1I13lory: S I rt!—I 3 Y)Y., R Y r Z 4114- <br /> ` s CHEGKL�ST ` <br /> All Applications <br /> Completed Application Forms Er'-- Ownors'Slgnnlmo g� <br /> Copy of Dead or Preliminary Title Report• ❑ Copies of Men or Map H� <br /> 8%'x I V Reduced Plan or Mop Ef-'- Hazardous Materials Disclosure Survey ❑ <br /> Development Impact Mlligallon Fee Form ❑ Assessor and History Pages ❑ <br /> Names List• ❑ Sowar/Water'Will Servo'Leiter• p- <br /> General Plan Mop• ❑ Zoning Mop• ❑ <br /> Solis Report• ❑ Sells Suitability Study• ❑ <br /> Thoso materials may not be required for certain applications. Check[lie application typo for details. <br /> Tentative Maps <br /> Map Signed by Owner a-- Traci Number and Name(Mnjor Subs only) Q� <br /> Sopla ❑ / All Lots Numbered g� <br /> Contour Linos 0---" <br /> - Location of Well and Septic System ❑/ <br /> Agricultural Homosllo Form ❑ Adjoining Properly Owners Names on Mop [d <br /> Excavations <br /> Reclamation Plan and Schedule ❑ Financial Guarnnlce ❑ <br /> Typical Cross-eecllons ❑ Elovelion Cniculallon Schedule ❑ <br /> Engineer's Stamp ❑ <br /> Completed By: 57.5 U g,5. Dole: -_ J --7 Z <br /> appcnlr.rm <br />