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APPLICATION CONTROL SHEET <br /> To be completed by Deveiopment service staff <br /> PreAPp Only: ❑Yes No Fee: Fiecsipt Number. Dais: <br /> File Number: - Fee: Receipt Number: .'2 0 Z Dal.• <br /> Fie Number �' 0 Fes: 0,50 � Receipt Number: .2o Z s 6 I patsy w-Z� <br /> Fie Number: Fee Receipt Number: Date: <br /> Descr,o"n of Frolect <br /> D/Vf t- L I l-TO A Z , ZE <br /> ProjectLocation: f7-A-) S l DE 1 K-E f g4e <br /> Sr->v7-+40 1�/lo�Sc o4L� �Io(z <br /> o-1� � >D <br /> Aooress: Iu(t ( <br /> I-ODt GA �rj Zig t7 APN(s): <br /> General Pian Community General Plan D—gnation: A- f,-) <br /> Zoning Map: -[o Property Zoning: A _ .G Overlay Zone(s): <br /> Adjacent General Plen Zoning <br /> North: <br /> East: <br /> (x - SFO <br /> West: / (O <br /> 1DD-Year Flood ❑ Yes�No I Williamson Act D Yes XNo Supervisorial District: 4- <br /> Airport Area: FJ o„j E I Specific Plan(s) Yes ❑ No: <br /> History: O L --IQ rj U S -- <br /> CHECKLIST <br /> All Applications <br /> Completed Application Forms Owners'Signalure <br /> Copy of Deed or Preliminery Title Re rt• Copies of Plan or Map' <br /> 8''/,'x 11'Reduced Plan or Map Hazardous Materials Discbsure Survey ❑ <br /> Development Impact Mitigation Fee Form p Assessor and History Faces <br /> Names list` Sewer/Water Will Serve'Letter• ❑ <br /> General Plan Map' ❑ Zoning Map' ❑ <br /> Soils Report• ❑ Soils Suitability Sludy• ❑ <br /> These materials may not be required for certain applications. Check the opplical.on type for details. <br /> Tentative Maps <br /> Map Signed by Owner Tract Number and Name(Major Subs only) ❑ <br /> sepia All Lots Numbered �vC <br /> Contour Lines Location of Wall and Septic System g7 <br /> Agricultural Homeshe Form Adjoining Property Owners Names on Map <br /> Excavations <br /> Reclamation Plan and Schedule D Financial Guarantee ❑ <br /> Typical Cross-sections ❑ Elevation Calculation Schedule <br /> ❑ <br /> Engineer's Stamp ❑ I <br /> Completed by: �.-.T�1�1 jos fro Date. S5 eZ 1 ' mil <br /> eppcnul.7rm .>- .y7 <br />