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APPLICATION CONTROL SHEET <br /> � Fav t s��w�"{Y3�S"'��z`"d.��})s7s }d ho� n(lolail ti�(lnv�Cdpn�I t Sin�v(ee s(h1���43 c�a`�>.f St4r.'i,�'1b•4::.a. <br /> foe nacolpl Numben Dole: <br /> ProApp only: ❑Yes E3 Na p <br /> ��D roe: �38� nacolpt Numbor: 1O(WO Dole: <br /> filo Numbor. S�� <br /> Filo Numbor. <br /> foo: noc0ipl Nulnnborl Data: <br /> Dale: <br /> fgv Nuunbor: <br /> nae: nacolpt Number: <br /> Ooscdpllon al Pro)od Iv <br /> n P>ei rN G roo✓c <br /> ZcbL ( + 2 TF C.HTptti /6 ACRfrgy FAcf, ?Arcif 3 <br /> Ira CGhaTivy 3s s ACory Til rcrfC 4 7T <br /> O-741ry 3/-d7 WCii�l <br /> Prolod Leenllan: <br /> Hec Al�� Ij (-,?\X GF T�nLTA AVENvE <br /> Address: /0 S l ��C7A AaPk,11VOL' , O <br /> Ac CA X15376 Arm* <br /> h,A1 _ t <br /> ------ Omnoml Ptan Doslgnnllon: 6 I <br /> Ovuoml Plus Colmmmlly: -� <br /> Zmdug Map: ,,11 <br /> Property Zening: /r�' Ovodny Zonois): <br /> I <br /> _--- Denerai Finn Zoning <br /> Adlncald <br /> Nodi: <br /> r A6-40 <br /> n <br /> 'oath: <br /> It <br /> East: rr <br /> 4 <br /> wem: <br /> 100-Year Flood es ❑ No W1111runlon Act 0. ❑ No I Suporvlsorlel Dlshleb <br /> Al,polt A /I Sp Ill rl () ❑ Ye. B'Nw- <br /> I III y S 8(7 5 l I6 IIS L1Oys pig <br /> CIIk T4en <br /> All Applications <br /> Counplolod Application Fonns 01� <br /> owrims Signature ❑ <br /> Copy of Deed at Pmlbnlnnry Title nepod• ❑� <br /> Copies at Plan Of Map ❑� <br /> aw x I I'nodlicod plain or map I lozordous Mnlallols Disclosure Survey ❑ <br /> Doveloprnenl hnpocl MIIIgnlian Foo Form ❑ <br /> Assessor and I Ilalory Pages g1—� <br /> Naos Usl. ❑ Sewar(Walar'Will Sarva'letter ❑ <br /> s 11 Zoning Map. 13Ganoml Plot'Map <br /> Sells napad <br /> ❑ Solis Suitability Study• ❑ <br /> Subsidence Arca ❑ Yes No Expensive Sol]Aro. Yas ❑ No <br /> • 11,050 mnlcdab may not be mquhed for certain applications. Chock the oppllcnllon type lot delnlb. <br /> Tentative Mnps <br /> Mnp Signed by Owner 1:1 <br /> Ttnet Numbor and Name(Major Subs only) ❑ <br /> Ad)oluing Property owners Nmnvs on Mnp C3� All Lob Numbered <br /> Coulow floes t3' location al Wall and Saplla System l'1� <br /> Excnvnitons <br /> nocimmnllon Plan and Schedule ❑ <br /> Flnnnelnl Dunranloe ❑ <br /> Typical Cross-5oclions O Eiavegan Calculation Schedule 1:3 <br /> Enghraen's Stamp 13 _ <br />