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APPLICATION CONTROL SHEET <br /> To be completed by Developm rola.aan <br /> Pr.App Only: ❑Yea ❑ No Fee: Receipt NumberDale: <br /> File Number: -,,Z Fee:Seo Receipt Number: 2 Dole: 6 <br /> File Number: Fee: Receipt Number: Data: <br /> Fila Number: Fee: Receipt Number. Del,: <br /> Descnpban of Project e✓!S/D.4J D F /o/)ND rl/Orli S O r <br /> -O <br /> Project L...,an: <br /> Addle,,: <br /> G%.�IR>'• S Al's. APNIa). <br /> Gen.,.[Plan Commumy: Genoral Plan Designation: <br /> Zoning Map: �- 2-- Property Zoning: -/ Overly Zone(a): <br /> Adjacent General Men Z-.n9 <br /> South: <br /> sal I r I r <br /> West: Ic •• f •r <br /> 100-Year Flood ❑Yea Williemwn Acl Yes ❑ No Supenna.-I District: <br /> Airport Are.: {� 's Specific Plans) ❑ Yea �{do: <br /> History: /c(� - 20 �Z Z �Y) - /0- 0-7- <br /> CHECKLIST <br /> Q- 0-7 - <br /> CHECKLIST <br /> All Applications <br /> Completed Aoplicotion Forms Cwne s'Signature <br /> Copy of Deed or Pretimin.ry Till,,Re Port' 0 Copies at Plan or Map ❑ <br /> 8'/i x 11'Rcducad Pon or Map ❑ H—dous Malerials Disclosure Survey ❑ <br /> Development Impact Mitigation F..Form ❑ Assessor and History Pages ❑ <br /> Names List' ❑ S.v+ M.Icr Will Serve'Letter ❑ <br /> Gen rel Plan Map' ❑ Zoning Map• ❑ <br /> Soils Report' ❑ Soils Su%obiuy,Study• ❑ <br /> These metenala may not q,,red lot certain eppli-l-,. Check the application typo Idt details. <br /> Tenladve Map. <br /> M.b Sign.d by Owner ❑ Tracl Number and Name(Major Subs only) ❑ <br /> Sepia ❑ All Lots Numbered ❑ <br /> Contour Llnea ❑ L...lion of Well end Septic Syslom ❑ <br /> Agrieullurel Homeaile Form ❑ Adjoining Property Own.s Name,an Mop ❑ <br /> ` Excavallon. <br /> R.cl.m.lion Pt-and Schedule ❑ Financial Guoremo. ❑ <br /> Typical C--ecucns ❑ Eltr-lion Calculation Schedule ❑ <br /> Engineer'.St— ❑ <br /> Completed 6y: D.ts' <br /> .Ppcn(r.rm - v <br />