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APPLICATION CONTROL SHEET <br /> To be compteled by Development Servlet staff - <br /> PreApp Onty: ❑Yee Pt No Fee: Receipt Number. Data: <br /> File Number. Z–(i0 Fee: 5' Sas Receipt Numbe, 3j Data:yp_Lj• L <br /> File Number: Fee: Receipt Number: Date: <br /> File Number: Fee: R...lot Number Date: <br /> Description of Project /TE AW.L,VA /1FVL/c <br /> 4�N M <br /> Project Location: T j/ f0 F Ile w/a ftp ,ze 1P <br /> 31y F /c o Tt/ OX- ULP J�F J+ D /� Vti/oN <br /> Address: > U/ /+o T 0 124AD S C4,-Tei+ 6A <br /> APN(s): <br /> General Plan Community: General Plan Deaignegon:Gt Lam• /� [ <br /> Zoning Map: Property Zoning: Overlay Zone(.): <br /> Adjacent General Plan Zoning <br /> With: <br /> South: <br /> East: <br /> West: <br /> 10PYear Flood ;V Yes ❑ No Williamson Ah qQYe. ❑ No Supervisorial District: 3 <br /> Al,.d Arae: — SpxAlc Plan(,) ❑ Yee ®No: <br /> History: D P <br /> CHECKLIST -..�.w <br /> All Applications <br /> Completed Application Forms Cr (Nnen'Signature <br /> Copy of Dead or Preliminary TNe Report• Jr Copies of Plan or Map <br /> e.'x 11'Reduced Plan or Map 'gr Hexerdous Materials Disclosure Survey H' <br /> Development Impact Mitigation Fee Form ❑ Aeseesor and History Pages IY <br /> Names Wt• g �y� Sewar/Water'Will Serve'Latter• ❑ <br /> General Plan Met• ❑ Zoning Map• ❑ <br /> Soils Report• ❑ Soils Suitability Study• ❑ <br /> Subsidence Are. •Yes P1 No Expensive Soil Area ❑ Yes d No <br /> • These materiels may not be required for certain applications, Check the application type for details. <br /> Tentative Map. <br /> Map Signed by Owner ❑ Tract Number and Name(Melo,Sub.only) ❑ <br /> Adjoining Property C vnare Names on Map Cl All Late Numbered ❑ <br /> Contour Una. ❑ Location of Well and Septic System ❑ <br /> Exeanitione <br /> Reclamation Plan and Schedule ❑ Financial Guarantee ❑ <br /> Typical Cross-section. ❑ Elevation Calculation Schedule ❑ <br /> Engineer's Stomp O <br /> Completed By: C I1, Data: /V- Z <br /> appcntr. rn <br />