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<br /> Inc Number.i5D--R Lf- Receipt Number. J16((:6 Date: 3 f O
<br /> I M- Number: Fee: Reedpt Number. Date
<br /> Fne Number. Few Receipt Number. Date:
<br /> Project Description: -k v a T LAfe3—L-k awl
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<br /> Address: "V'�] G A-ve SD, 3o 0 C(4 E - 1:;i7�-'(05- YL.2 QC,�ft OQ �5 Lt3
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<br /> I00-Year Flood 17Yg o Zone: Williamson Act T o Prime Soil UYxs UNo 13NA
<br /> Airport Area:DYcs1I0 Specific Plan(i)OYes*Io Supervisorial
<br /> Name: Road Name: District:
<br /> History: Par-77-2) '-
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<br /> Completed Applications Forms Owner or Agent Signature
<br /> Copy of Deed or Preliminary Title Report' Hazardous Materials Disclosure p
<br /> 8 Ur x 11"Reduced Plan or Map Copies of Plan or Map �C
<br /> Soils Suitability Study p Assessor and History Pages
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<br /> General Plan Map'/Toning Map', p Soils Report* {�
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<br /> Subsidence Arra pYo Expansive Soil DYeszio
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<br /> Map Signed By Owner p Tract Number and Name(Major Subdivisions Only)a
<br /> Adjoining Property Owners Names on Map G All Lots Numbered O
<br /> Contour Lines d Location Well&Septic p
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<br /> Reclamation PIan and Schedule O Financial Guarantee p
<br /> Typical Cross-Sections El Elevation Calculations p
<br /> Engineers Stamp Q M.R.Z.QYcs C1No
<br /> Completed By: f_`)4hm Date:
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