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APPLICATION CONTROL SHEET <br /> - - To be completed by Developmenl Sarvlce dolt <br /> PreApp Only; ❑Yes ❑No Fee: Recelpt Numbor: Dole: <br /> File Number: , uo _ Fee: s�'75 cel t Number; <br /> z- Data: <br /> File Number: Fee: Recelpt Number: Data: <br /> File Number: Fee: Recelpt Number: I Dela: <br /> Description of Project *�, Z <br /> Project Lo don:Ojk <br /> i c <br /> Addreu: tl <br /> 9S3zo APN(a): Q—Q p0 <br /> General Plan Community: General Plan Designation: <br /> 2onlnq Mep: Property Zoning: 0 Overla Zone(,): <br /> Adjacent Gonore l/Plan Zoning <br /> Norah: L�l X!!>!Q U <br /> South: <br /> East: <br /> Went: <br /> IOD.Year Flood ❑ Yes No Willlemeon Ad ❑ Yos No Supurvlsorlal Dlalricl: S <br /> Alrport Area: _ Spacilic Plans) ❑ Yes No: <br /> History: <br /> :`;CHECKLIST <br /> All Application. <br /> C,mpleled Application Forms 9 0-,. Signal.,. jg 1 <br /> Copy of Dead or Preliminary Till.Repan• Copies of Plan or Map a <br /> 8/•x 11•Reduced Plan or Map Huard—Materials Disclosure Survey ❑ <br /> Developmenl Impact Mitigation Fee Form ❑ A,....or and History Pages <br /> Names List• if SewertWeter"Will So—*Lefler• ❑ <br /> General Plan Map' ❑ Zoning Map• O r <br /> Soils Report- ❑ Soils Suitability Study• ❑ <br /> • These materials may not be required for certain applications. Check the application type for deloils. <br /> Tentative Maps <br /> Map Signed by Owner Ilq Tracl Number and Nome(Major Subs only) ❑ <br /> Septa ❑ All Lot.Numb..d <br /> Contour Lines Locallon of Well and Septic System 19 <br /> Agrlcullur.t Homesite Form O Adjoining Property Owners Names on Mep ON <br /> Excavations <br /> Reclamation Plan and Schedule ❑ Financial Guarantee ❑ <br /> Typlcai Gross-...U.ns ❑ Elevation Celculetton Schedule ❑ <br /> Engineer's Stamp ❑ <br /> Completed By: <br /> appentr.rm <br /> tl: ' <br /> 1. <br /> w' <br />