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�o�r1n -PA-P--Q 2 OF-Z_ <br /> APPLICATION CONTROL SHEET <br /> e . <br /> 01-00-1141M <br /> � � M>�� i -WE bn.isorn�il��ctl, { <br /> ff f ••2p. #Si.<.. .S`R `�K.e AARW +:<.. SX.- kCw ¢,k <br /> PtoApp'Only: ❑Yes ❑ No roe: nocelptNumber: Data: <br /> i <br /> rile Ntembat: S(��q',�iv rao: Z(!S D nocalpl number: to¢2(. Daie:M 2! <br /> ' rile Nonitwn roe: Receipt Numbor: veto: <br /> t <br /> ;. rlla Number: roe: Racotpt Number. Dote.Description of Pra]oc! (fr3 ji/j H 4 L� SU Division <br /> ?W a 2 A CRIES CAC F'f <br /> .i <br /> t <br /> Project Location: dY1 7!, f— DUTY SINE or— W1 RuA <br /> ,Ra P /V a (AIR P4 <br /> Addioes: 3440 C AL I M 'j'WA- rrt a++b _ <br /> !}cAtrv.pa c 175220 hP1+ts1: od -IqS-a <br /> Ocnaral Nwo Contrnunily: C ou—I irJ--V I I t c Oonornl Plan boslgnnllorr: <br /> 7ouing Map: Properly Zarrirtg: �=a Ovattny Tone(s): <br /> Adjncortt General Plnn Zoning <br /> EosN rr •d i <br /> io0•Yonr rlood 1- <br /> a Yes Mo" W1111nnison Act U Yes 'LLi SuparvlsotloE District: <br /> +: Airport Aren: S Spocme Pfnnp d Yes "a! <br /> I1151ory: <br /> 3-7 Un?" R ".ul ;ix � f <e CEc�lsf z F ; <br /> A <br /> r �' <br /> ;i All Applitallans <br /> + a Coruptalad Application corms jpl Owners'Stgnotuto [] <br /> Copy of Dead of Piallminnry Tlllo Repotl Copies of Plnn or Map L1� <br /> 0%a x i i•noducod Plnsi or Mop 1 inzmdaus Mntodals DEsclosuro Survey [I <br /> n <br /> jDevelopment Impact Mllignllon roe rorrtt ❑ Assessor and I11stoty Pages la---f <br /> Nallsa6 Ust• Saww1wotar'Wllf Sorvo'Leiter• U _ <br /> Gonoral flan Mop' ❑ Zonlrig Map• ❑ <br /> Soils nepart" ❑ Sails Sullabllily Study• d <br /> Subsidonco Aren ❑ Yas ELMS, F�ponsivo Sotf Aro. Yas ❑ Na <br /> • lheao tnntcdnls may not be roquhcd for cettaln npplicnilons. Chack Ow oppifcniton typo lot dolalls. <br /> TviAnlive Maps <br /> Mop Signed by Owner b Tract Number and Nome(Major Subs only) v1---- <br /> Adjotrting Propotty Owners Nomas on Mnp 0 h11 Lals Numbered <br /> Contour Lincs M. Locollon of Wail and Sapile Systam <br /> r _ Excavntlotis <br /> ,1 <br /> { nocimmaorr,Plnn and Schedule 13 rinancinl Guntanloo ❑ <br /> Typical Cross-socilons ❑ Uavatlon Cotculntfon Schedule O <br /> Eugfnoar's Stamp (+ e� 1 13 <br /> Completed Dy:--- NN _ Dt�iJ/� Dnlo: IO q <br /> nt�ocretr,trrt <br />