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APi'LICATION CONTROL SHEET <br /> Tr <br /> li(y'i�. %: �i�•` .i '•T0 bo coin) olod <br /> c I( by f)ovclopmcitl Ser•vlco einll <br /> f#oApp Only: ❑Yes ❑ No Foe: flocolpl Humbat: Dole: <br /> Filo Flumbot: 11/t -q Z-�'(� Foe: I I(x.'? flocelpl Number, ZI-3 Dole: I 17/y l <br /> File Iluntbot: Dom.. Foo: ZS Od flocelpi Number: Dole: <br /> Filo Number: Foe: flecelpi Number: Dole: <br /> 1 <br /> i, Dcscilpllon of (bloc( k MItJ(IL S09010iLCr,) ---Tb f-�"O5- A 4b•s� <br /> ,b�c/L� I�ia2c a� 1 N T 0 TvJ tP�oicr3 . `P cam- I Foto v k NE. pF.o �4�e <br /> .•TD GcNc crl rJ 2.o rh vZ`'3 A-t I j PI*tc-a. 2 N 3 + <br /> W �t.1T <br /> Pio)ocl Locollon: 0 j -Ft}-,F- (J - £yk3� Go2►.Ir�JL_ Com' Cl �v17�2 .ptt�JlJ <br /> I ! � �Vt�:t n/� ►2-cir�tpS � SoilwZ-�E�tsT' CP (�caOl <br /> I <br /> 1 <br /> Address: b6,G It E. VVUJd--)— 12 v^0 <br /> G,5'Zqr�s APN(s): OG-2 <br /> i <br /> GmIcI l Plait Communlly: Genornl Pion Deslgnnllon: <br /> Zonbtg Mnp: E --] Properly Zoning: nom- 1 Ovetlny Zono(s): <br /> Adjncerrl General Plan Zoning <br /> South: rr ri <br /> Ensl: r� p <br /> Wcsl: i. <br /> 100-Yoor Flood ❑ Yes Allo Wllllnritson Acl ❑ Yes-Y(14. i Supervlsoriol Dlslrlcl: <br /> Alrpoil Aran: Not'm Specific Plan(s) ❑ Yes Ido: <br /> I lislory: <br /> •.0 -C < S <br /> IiL I LI �>. iii••'`• <br /> All Appllcnllons <br /> Contpleled Appllcollon Forms K ! Owners'Slgnolure v <br /> Copy of Deed or Prollntlrtnty Tlllo flepotl ' Copies of Plnn or Mnp @. <br /> 1 0'/A' x 11' floduced Pion or Mnp Ilninidous Mnlednls Dlsclosma Survey ❑ <br /> i — <br /> I Dovelopmonl Impacl Millgallan Foe roan ❑ Assessor and I lislory Pogcs <br /> Homes Llsl ' Sewat/Walet 'Will Serve' Lellor • ❑ <br /> Gonarnl Pion Mop • ❑ Zoning Mop ' ❑ <br /> Solis neporl ' ❑ Soils Sulloblllly Sludy • p <br /> ' Those moioilols may not be ioiluliod for ceitnln npplicnllons. Chock the opplicnilon lypo for doiolls. <br /> 4 <br /> Teltlnllve Maps <br /> Mnp Slgnod by Owner Tincl Number and Nome (Mojor Subs only) O <br /> 1 <br /> Sopla All Lois Numboied <br /> i <br /> Contour Linos Locnllon of Well and Sopllc Sysloin <br /> Agilcullmol I lomosllo Form Adjoining Propoily Owners Nnmos on Mop <br /> ti Excovnllons <br /> hoclorrtallon Pion rind Schodido ❑ Flnnncinl Gimmiloo ❑ <br /> Typlcnt Cross-tocllolit ❑ Elovollon Cnlculallon SCIledulo ❑ <br /> 1 ' <br /> Englnow't Stomp ❑ <br /> S _ <br /> Complalod By: ft, '�2 Dole: I JG+C1, <br /> I • <br />