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APPLICATION CONTROL SHEET <br /> 1� �� 7i5�ampleleC 6,Ybovelb ma�pt. ,�.,:�� - <br /> P,.App Only: :3Y., W No Fee: Receipt Number: Dela: <br /> File Number: Uf 93- d 0 ' Fee: ZS oo Receipt Number. 47U(p Dale: .13 <br /> Fila Number: Fee: Receipt Number: Dole: <br /> File Number: Fee: Racelpi Number: Data: <br /> D....1pnon o1 Project E E/LM/T- T D CD ✓f T FJ f710 41 <br /> TV AA-Y A "0 CC/✓v�T 7 0 L o � /LAI EYG6 =g lC <br /> REC l& o ut A f f E.ac IS Ly. <br /> Proloct Lo..tlon: <d 60 11 NE U/Ef ffPf OF Mye-(<,r 6/bvi <br /> (l0 0 gS PFFT NORTN o0 C- 16y4T /a'• to AO NO2'21 <br /> or <br /> Address: /(01( c/a l 6 lb uF "W Rp C R( C4 5-L YO <br /> 11 APN(s): y" - 2/a - Z f <br /> General Plan Community: 5 c'� rJ Gan...I Pian D..Ignellon: Q IL- <br /> Zoning Map: - Properly Zoning: AL 'S Overlay Zono(a): <br /> Adl...nl XGonaral ZoningNonh: L —5South: L SEast• L -(0Weec A L —5Ig Year Flood ❑ Yu [y No ct ❑ Yea No Supervlaodal DlsblcU <br /> Ahpod Are.: OAE SpedOC Plan(,)' Yea ❑ No: /I1 ((•j(t r 6-(L4 V`2 <br /> "story: <br /> .. <br /> ,..,.,w.... <br /> - All Applications <br /> Completed Applloauon Forma 0..,. Slgnaturs <br /> Copy al Deed or Preliminary Till.Fl.p.rt ef Copies of Plan ar Map <br /> 81W,11-Reduced Plan or Map d Hazardous Materiels Dleelosura Survey if <br /> Development Impact Mitigation Fee Form ❑ As... or and History Pages <br /> Names Uat• S.wer/Welar will S.,.Lane,• ❑ <br /> General Plan Map• ❑ Zoning Map• ❑ <br /> Soil.Rapart• ❑ Sella Suitability Study• ❑ <br /> Subsidence Area ❑ Yes ZrNo I Fxpan.N.Solt Area Yea ❑ No <br /> • These materiels may not be required for certain eppgcegons. Check the application type for details. <br /> Temente Maps <br /> Map Signed by Owner ❑ Tract Number and Name(Mayor Sub.only) ❑ <br /> Adiolning Property Orman Nomas on Map ❑ All Lola Numbered ❑ <br /> Canlour Una. ❑ Lac.gon al Well and Sepno System ❑ <br /> Excavations <br /> Reclamation Plan and Schedule ❑ Fln.n.W GuennIs. - ❑ <br /> Typi.ai C.......tion. ❑ Elevation Calculation Schedule ❑ <br /> Engineer'a Stamp ❑ <br /> i Completed By: hJ rclZ Data: 9 <br /> eppcnI, 18. <br />