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LA - 93 - 57 <br /> APPLICATION CONTROL SHEET <br /> frE is nx <br /> i 5si 6F t Td bo eam�le3er)h�bnvela <br /> tpmenl Snrv�ee ilhlr y''s £ #3 ,: ,ef,; <br /> ricApp only: ❑Yos ❑ No Fee: rlocelpl Number: Dale: <br /> File Numbor: LA -J3- 57 Fee: A•(c0 nocolpl Number: /D 87 0.10: <br /> Fllo Numbor: Foo: Rocelpl Number: Delo: <br /> Filo Number•. Foo: nocvlpl Number: Dole: <br /> D Ipll IP I t Lot /-/✓ e Ablvs-C FAIT: <br /> -i XECorI ;:I c vRiS TW0ExiST1AlI> 7''A'kcf4ir or ( • 63 AczEr <br /> Arfb 9 116 AC'¢6S %a A I j ACIE6 PAwx( _ AAfb A <br /> f4 5 ACZle, 'PATQc 4 <br /> Project Location: OLj '7 rt E Nor_T 1+ W f S'r CoP-M6T- of /NA/✓! <br /> 379igeT AAIT� WAG Lust LANE f FJd Sfi>cen <br /> Address: 1/13 f. MAI N 57Rf£ <br /> STOCKTIh CA 15215 APN(s):�59-100-04105 <br /> Gcnmal Plan Communily: 5T0G 1--To n I Gonaral Pian Designation: -xzL <br /> Zoning Mop: Piopvity Zoning: P Overlay Zonate): <br /> Adjacent Gcnaml Plan Zoning <br /> Narih: 1; (L (.dw ds/JY W-e <br /> �' 2-C AG -4o <br /> Sarah: <br /> Ectal: �7- // <br /> L _C <br /> WcM! <br /> 100-Year Flood ❑ Yes mea WIIliamson Act ❑ as _U'90 Suporvlsodol District: <br /> Airport A Q 6 Specific PI () ❑ Yen GYlvo: <br /> History: PA/-8o pQ CPA, 9 9/ <br /> CH�CI(LiSt :j gs � So :.. <br /> ^ All Application. <br /> Completed Application Forms ❑ O.vncrd Slgnatura ❑ <br /> Copy of Decd or Prollndnnry Till.nepod• 1011- Copies al Plan or Map <br /> B'/.,x 11'noddcod Plan or MOP Q/ Ilwardous Mnlorlals Disclasuro Survey ❑ <br /> Development Impact Millgakon Fee Farm ❑ Assessor and Hl.lory Pages B� <br /> Nomas List• 0 GC QE q.V 1 fe b— Sowcr/Waler Will Servo'Letter• ❑ <br /> General Plan Map ❑ Zoning Map• ❑ <br /> Soils nopvrl' ❑ Sells Suitability Study• ❑ <br /> Subsidence Arce ❑ Yes o Exp...Iva Sell Arae VYes ❑ No <br /> ' Theso mNedals may not be requited for corinln applications. Chock the application type for details. <br /> Tomnllve Mop. <br /> Mop Signed by Owner ❑ Tract Numbor and Name(Major Subs only) ❑ <br /> Adjoining Property Owners Names on Map ❑ All Lab Numbered ❑ <br /> Canlaur Linc. O Location of Wall and Septic System ❑ <br /> Excavation. <br /> naclnmallon Plan and Schodulo ❑ Financial Guarantee ❑ <br /> Typical Crms..ocllons ❑ Elevation Calculation Schedule ❑ <br /> Engineer'.Slump ❑ _ <br /> Completed By: _ I f./� �1 PN___P`•R¢� <br />