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_ <br /> or 1 <br /> APPLICATION CONTROL SHEET <br /> ;.ys <br /> �o bn comptele8 by bavefripmonl Snrvl�e i151) rs _ ,. € <br /> ProApp Only: ❑Yos �f to nacolpl Number: — Data: — <br /> Filo Number. S { 93 -¢o Foo: !5 99`s' flocolpl Number. <br /> 95--72- Delo: V-/7- <br /> rile <br /> Onto: <br /> I'llo Number: roe: flOcolpl Number: <br /> rile Number: foo: nocolpl Number: Dolo: <br /> Ooscrlpllon of project /—t ��;20�,L� f ''/-r c�— fl r To r» `� /7,.oGO --S5--IR <br /> F- CO�c� -0�'iLcT= 3cI tJrntCr �D itwl /3 -r .. G+- r- 0OD <br /> 1�.LCK tic STmrz EcrT_ F7Acrc. T �] <br /> Project Locnllon: ON <br /> AIB r2..TN B- �����ti C.' lti6L FLJ Or- c�rb G/G-T�o.J <br /> Address: 209 -7 jc ,��T�c,e—mit <br /> �/4. <br /> — <br /> property <br /> plait Communlly: C�Tocae�oN L1K�� Gonornl f Ion Doslgnollon: <br /> Zoning Map: �JTOC ftTq tir tiJG f roperty Zoning: 4 U-20 Ovoriny Zono(s): — <br /> Adjnconl <br /> General Plnn Zoning <br /> North: P//--- A Li -zo <br /> A u 20 <br /> South: <br /> A LJ-20 <br /> Ensl: <br /> du-zo <br /> West: / <br /> 2. <br /> 100-Year Flood Ycs O f to / FF y WIIIImnson Act ❑ Yes ; �'No Suporvisorlal Disblcl: <br /> Airport Arco: -- Specillc Pinn(s) ❑ Yes e No: <br /> Z L-- 73 -/5//tom{ -91 2.3/ Z/ 4-4. - <br /> Ilislory: dP- 74 - 73-Z8 /4'- 7�-9 C ) ,� <br /> cll�cKLlSt { > . ... <br /> /All Applications <br /> Completed Application roans Owners'Slgnaturo <br /> of plan"a <br /> Copy of Dead orP+oNndnncy Tlllo fleporl' L� copies P R <br /> ov,,x 1 I'ftoducod Plan or Mop ,d I lazordous Molorlals Disclosure Survey <br /> Development Impact Mitigation poo Form ❑ Assessor and History Pages <br /> Names List• ,EI` Sowar/Walor NVill Sorva'Lollar• ❑ <br /> General Plan Mop <br /> ❑ Zoning Map' d <br /> Salla rloport <br /> ❑ Soils Suitability Study' ❑ <br /> Subsldoneo Area ❑ Yes If No Fxpnnslvo Sell Arca yes ❑ No <br /> lhcoo mnteriais may not be required for certain nppilcnllons. Chock tiro application typo for dolnlis. <br /> Teninilva Mops <br /> Mop Signed by Owner ❑ Tinct Number and Nomo(Major Subs only) ❑ <br /> Adjoining Property owners Names on Mop ❑ <br /> All Lots Numbered ❑ <br /> Contour Lines ❑ Location of Wall and Septic System ❑ <br /> Excnvnllone <br /> floclnrnntfon plan and Schedule ❑ <br /> rinanclai Guarantee ❑ <br /> Typical Cross-sactlons ❑ Elovnlion Calculation Schodulo ❑ <br /> Enginoer's Stomp ❑ <br />