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APPLICATION CONTROL SHEET <br /> To bo completed by Development Service staff <br /> ProApp Only: ❑Yes ❑ No Fee: Receipt Number: Dolo: <br /> Fila Number: Pv-4,-� Fee: 95V Receipt Number: '20p / Dole: <br /> Filo Number: Foo: Receipt Number: Dole: <br /> File Number: Fee: Receipt Number: Dole: <br /> Description of Project ti <br /> L Sd <br /> Project Location: ) /� /Aelow? <br /> Address: �3a7 �• G +u.�c <br /> APN(s): <br /> General Plan Community: General Plan Dosignollom 4 <br /> Zoning Map: !' `� PT_roperty Zoning: Overlay Zone(s): <br /> Adjacent General Plan Zoning <br /> North: <br /> rr <br /> South: <br /> rr n <br /> East: <br /> rr �� <br /> West: <br /> 100-Year Flood ❑ Yes C�,NoYlliiamson Act ❑ Yes 1�No Supervisorial District: <br /> Airport Area: — 113poclfic Plon(s) ❑ Yes 5�-No: <br /> History:-�� - fq7 <br /> CHECKLIST <br /> All Applications <br /> Completed Application Forms Owners'Signature <br /> Copy of Deed or Preliminary Title Report Copies of Plan or Map <br /> BY,'x i t'Reduced Plan or Map Hazardous Materials Disclosure Survcy ❑ <br /> Development Impact Mitigation Fee Form ❑ Assessor and History Pages <br /> Names List1i Sewor/Walor'Will Serve'Loller' ❑ <br /> Gonoral Plan Mop' ❑ Zoning Mop' ❑ <br /> Soils Report• ❑ Soils Suitability Study' ❑ <br /> These materials may not be required for certain applications. Check the application type for details. <br /> Tentative Maps <br /> Map Signed by Owner Tract Number and Name(Major Subs only) ❑ <br /> Soplo ❑ All Lots Numbered <br /> Contour Lines ❑ Location of Well and Septic System ❑ <br /> Agricultural Homosile Form ❑ Adjoining Property Owners Names on Map ❑ <br /> Excavations <br /> Reclamation Plan and Schedule ❑ Financial Guarantee ❑ <br /> Typical Cross-sections O Elevation Calculation Schedule ❑ <br /> Engineer's Stamp ❑ <br /> Completed By: Cyd-p Dote: Z7-l/Z— <br /> appcnlr.rm - . <br />