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APPLICATION CONTROL SHEET To Lie completed by Dovelopmenl Setvlco sluff ProApp Only: ❑Yes No Foe: nocolpi Number: Dole: Filo Number: ��5 2- I 47)(p Foo: Cj S a Receipt Number: 205' Dole:8,Zj,, File Number: Fee: "3yr� Receipt Number: 20£j Data:5-Z;,.Jz Fllo Number: Foe: Receipt Number: Dole: Description of Project A M iti oy- X16 pt f ISIC 1a L t c,"o.S b 1 I O�� Pt IOIi.ST-0 t�O jjL ZYZ Project Location: 0.1 7 S<,<ij'I� Sr ac (= Co EAST OF Lo.-Iee- S�c2a .eL1To o.•�,� (� �u rr t�Jl� Address: ZCo'J 4 E-�. GOC-4-c67e r—V - Ga nCoo C? 4�S ZZo APN(s):005-Oq0- 36 31 D1— (/ General Plan Community: �l..l�l '��I l.l.re General Plan Dosignallon: (PUPAL- k05,Pc;,4T(A L� CZJ(U) Zoning Map:cl L t,t3r-1 I LL-A:-:j Property Zoning: �- Ovorloy Zono(s): Adjacent �j General Plan Zoning 1� North: I�UKAr_ r CSlpl ,.L_ South: East: Was( 100-Year Flood ❑ Yes iNo Williamson Act ❑ Yes O No Supervisorinl Dlstdcl: 4 Airport Area:L I r;,'<,- Lo Qi Specific Plan(s) ❑ Yes No: History: CHECKLIST All Applications Completed Application Forms Owners'Slgnolure Copy of Dead or Preliminary TIIIe Report Copies of Plan or Map p� 8'/.'x i t•Reduced Plan or Mop Yd Hazardous Malerlols Disclosure Svmoy ❑ Development Impact Mitigation Fee Form ❑ Assessor and history Pages Names List• ❑ SewerlWoter'Will Servo'Lollar ❑ General Plan Mop• ❑ Zoning Map• ❑ Solis Report' ❑ Solis Sullabiliiy Study' O Those materials may not be required for certain applicallons. Check the application type Ior details. Tentative Maps Map Signed by Owner Traci Number and Name(Major Subs only) ❑// Seale ❑ All Lois Numbered q//y Contour Lines ❑ Location of Well and Ser,lic System /D Agricultural Flomesile Form ❑ Adjoining Property Owners Names on Map Excavations noclamallon Plan and Schedule ❑ Financial Guarantee Typical Cross-sections ❑ Elevallon Cniculallon Schedule ❑ Engineer's Stomp ❑ Completed 0y: >=1U A f� � - Dnlo: �j- Z(p• `OZ nppcnlr.rm 3-18-91