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f <br /> APPLICATION CONTROL SHEET <br /> To be comp toted by Development Service staff <br /> FreApp only. ❑Yes 7-1-No Fee: Receipt Number, Dnte. <br /> Fitc Number: S� I —it 7 Fee: �L Feceipi Number: �-r <br /> h 1 r r'7L' <br /> File Number: r�L�.f` fee: I'7�" Receipt Number: ry Dase: !f <br /> File Number: -:tf - •ii_rr Fee. Receipt Number- Dale, <br /> Description of Frojecl <br /> 4cy75 , tit 4-6 r,, ._ r [I fYC'ri� {i <br /> Ffoiect Locot'ion. <br /> AinLaf LA JF,s V ,•Ir lti�T <br /> Etc y <br /> Adwr,c 5: <br /> .Z i1 tart 3 <br /> General Pian Communis•, -r-2 r General Plan Design-lion, <br /> 5 <br /> Zoning Mnp. fs1 -+-{ Property Zoning: r"` _L,S- pverlayZone(s) <br /> Adjace rt General Plan Zenino <br /> rdcdh: (;L{,F.d f- i$rrr� — <br /> South: Ir <br /> rl <br /> 100-Year FIDod ❑ Yes NZIgo 14'illiamsen Act ❑ Yes a,Ne Supervisorial Distract: <br /> Airport Area: i r A_l Specific Plans) ❑ Yes U'No: <br /> Hisiory: <br /> CHECKLIST <br /> Ali Applications <br /> Completed Application Forms l2- f Owners'Signature -� <br /> Copy of Deed or Preliminary Tille Repot,• Y Copies c!Pian or Map <br /> 81_'z 11'Reduced Plan or Map $' Hazardous Materials Disclosure Survey ❑ <br /> Davaiopmenl Impact Mitigation Fee Form ❑ Assessor and History Paces it <br /> Names List• ✓y Sewef/Waler•Will Serve'Leper• ❑ <br /> General Plan Me;:• ❑ Zoning Map' ❑ .. <br /> Soils Report• 8� SDits Suitability Study• y <br /> These materials may not be required for certain eppl'rcai,Dns. Check Inc application type fpr details. <br /> Tenlalive Maps <br /> Map Signed by Owner q--- Tract Number and Name(Major Subs oniy) ID-- <br /> Se pit 4�/ All Lots Numbered <br /> Conlour Lines lY Location of Well and Septic Syslem / <br /> Acricultural Homeshe Form ❑ Adjoining Properly Owners Names on Map p� <br /> Excavations <br /> Reclamation Pian and Schodule ❑ Financial Guarantee D <br /> 7ypltal Cross-sections ❑ Eievalion Caleula6on Schedule ❑ tttt <br /> Linees Stamppleted By: Dale: II <br /> .pp.." rm r �i1 <br /> k <br /> I <br />