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APPLICATION CONTROL SHEET <br /> -•To ba complefad 6y DavelopinerK Sarvlca Na}f` <br /> PreApp Only: ❑Yea ❑ No / Fee: Receipt Number: Date: <br /> File Number: A-Ry S Fee: /705, Receipt Number. C77, Deter (�q <br /> File Number. Fee: Receipt Number. Date: <br /> File Number: Fee: Receipt Number: Data: <br /> Description of Project 5t "AIV" C v-) -f�-L u..L Scl1✓1 cJ£ <br /> -,1. r2 Or t 5 t NCf -FT,cel�k T11 <br /> Project Location: Qr.J ems6 5v✓(lf srj a� rjjuW AP50/1-Q axd—, H-0-,F <br /> !Lf' G✓ts31- ItMJ A-Lt, ]J r`✓1,,q Su✓� GF fTz1-kq--3 <br /> Address: 'L0178 le-- d 'W IJ C- 1&01 <br /> - 77J�J, CA- APN(s): 160-03 <br /> General Plan Community: General Plan Dosignation: <br /> Zoning Map: 601mv Property Zoning: A& 0 Overlay Zons(s): <br /> Adjacent General Plan Zoning <br /> North: <br /> South: A/G A75-YJ <br /> East: A U �a <br /> wase (, A <br /> 100-Year Flood ❑ Yes >l Williamson Act ❑ Yea No Supervisorial District: S <br /> Airport Area: Speck Plan(,) ❑ Yea o: <br /> History: CG -Qz--Cc•( <br /> CHECKLIST' <br /> All Applications <br /> Completed Application Forms Owners'Signature <br /> Copy of Deed or Preliminary Title Report• Copies of Pian or Map <br /> SY.'x 11'Reduced Plan or Map Hazardous Materials Disclosure Survey ❑ <br /> Development Impact Mitigation Fee Form ❑ Assessor and History Pages le <br /> Names List• Sewer/Water Wit Servo'Letter• ❑ <br /> General Plan Map• ❑ I Zoning Map• ❑ <br /> ' Soils Report` ❑ Soils Suitability Study• ❑ <br /> Subsidence Area ❑ Yea No Expensive Soil Area Yea ❑ No <br /> • These materials may not be required for certain applications. Check the application type for details. <br /> Temative Map. <br /> Map Signed by Owner ❑ Tract Number and Name(Major Subs only) ❑ <br /> Adjoining Property Owners Name,on Map ❑ All Lots Numbered ❑ <br /> Contour Linea ❑ Location of Wall and Septic System ❑ <br /> Excavations <br /> Reclamation Plan and Schedule ❑ Financial Guarantee ❑ <br /> [Engines, <br /> pical Cross-sections ❑ Elev.Uon Calculation Schedule ❑ <br /> 's Stpmpleted By: vc"M 04 LA 'b 2a Date: <br />