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APPLICATION CONTROL SHEET <br /> T.be completed by Development Service ataH <br /> PreApp Only: ❑Vee fl(No <br /> Fee: C, fiecelpt Number. Data;; <br /> Flls Number. Si{-92- 3 Fee:—/r 22or'r Receipt Number. -3675 <br /> Data: 11-9-9z <br /> He Number. <br /> Fee: Receipt Number. Data: <br /> Fila Number. <br /> Fee: Receipt Number. Date: <br /> rrII <br /> Deecdptiono/Pro(s0. . 5,,E <br /> 3—zucru.cc E3rAD c.r�N 4wr O��-�w FPrL A «MAn 11 wll cA+iOr.l <br /> aE2J/4� �e.M r�lu�/ hrC dr�u 2J-r]rp. rp <br /> Project Laeudlon: O} Tµ£ AI c rL'r/ )S r Q- n� /-rL6IL tri ;'M/� <br /> 7A� Fu,.�r ErI�$r DF Cl N.ON IZQA-O Norz,�/,F OR /`7rL N'/C c..� <br /> Adtlreaa: ;Z <br /> "J7/ <br /> APN(a): /77- 100 -25 <br /> General Plan Community: General Plan Designation: <br /> Zoning Map: .1 S rcw Property Zoning: /k -49 Ovedey Zona(,): — <br /> General Plan Zoning <br /> r�y.. <br /> 1 / <br /> l Yaa ❑ o73,c Willl•maon Act ❑ Yea Af�No Supervisorial District: i <br /> Airport Area' — Speck Plan(.) ❑ Yea J1rNo: <br /> History: &4r V-7Q'7Zt0/-79-s/,GP-883d pA�-dZ-33 <br /> -3 <br /> .,r,CHECKLIST§ <br /> All Applloatlon, <br /> Completed Application Forms Ice Owners'Signature 1� <br /> Copy of Deed or Preliminary TM.Report• All Copies of Plan or Map <br /> 8'/a'a 11 r Reduced Plan or Map Pf Hazardous Materials Died.....S.,.y / <br /> Developmerd Impact Mfliga8on Fee Form ❑L Aaseaso(end Hlalory Pages y <br /> Nemec Urd• S g s{-9Z-Sv .H S..,lWater Mill Serve'Led.,• ❑ <br /> General Plan Map• ❑ Zoning Map• ❑ <br /> Soll.Report' Cl Soil.Suitability Study• ❑ <br /> Subsidence Area ❑ Yee No E,p."Sell Area I, Yea ❑ No <br /> • Theaer malarial may not be required for certain applications. Check the application"for detail.. <br /> T.rdaWe Map. <br /> Map Signed by Owner ❑ Tract Number and Name(Me(or Sub.only) ❑ <br /> Ad(olning Proper M Cvnen Names on Map ❑ All Lots Numbered ❑ <br /> Contour U... ❑ Loaatlon of Well and geode Syetem ❑ <br /> Excavation. <br /> Rxlamation Plan and Schedule ❑ Financial Guarantee ❑ <br /> Typical Cro.osactloro ❑ Elevation Calculation Schedule ❑ <br /> Engineer'.Stamp ❑ <br /> Completad Sy: P, Data: ! /7-9z <br /> appcnv.rm <br />