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APPLICATION CONTROL SHEET <br /> To be completed by Dovalopment Service stall <br /> PnsApp Only: ❑Yes No Fee: Receipt Number: Dela: <br /> Filo Number: 92-/05 Fee:31130- Receipt Number: 2241.2 Data:S-¢-'J2 <br /> File Number. Fee:'.' tk e- Recelp(Number: Data: <br /> File Number: Fee: Roccipt Number: Data: <br /> Description of project y y,t fs 0 K c R Q t c/nail TO C/',O 4 T r' 4 7 {4 <br /> Pot/L"C <br /> Project Location: A/O i.-ref{ Lsr.c OL THF /its Fr c.5 T/n V n r <br /> YNn CZLF_!)/ reran J, 6L 6 <br /> r ✓r.r�'/ FnNVIY WSc7 0� <br /> r r'7tw, <br /> Address: - LIF Y /Zw V <br /> Yua <br /> APN(s): 17'7--o70'-,5-2 <br /> General Plan Community: General Plan Designation: Arl- <br /> Zoning Map: (Awl Property Zoning: A v,y D Overlay Zone(,): <br /> Adjacent General Plan Zoning <br /> North: I}C--`I D <br /> South: <br /> East: <br /> West: R <br /> 106Vear Flood Yee ❑ No Q Williamson Act -$f-y.. ❑ No Suparvlsorla DkulcC <br /> Airport Are.: Specillc Plan(s) ❑ Yes ❑ No: <br /> History: p L 7`(— (77 FO 19 17 <br /> CHECKLIST, <br /> All Applications <br /> Completed Application Forms cr-- Owneri SlgneNre �� <br /> Copy of Coed or Preliminary Title Report• O/ Copies of Plan or Map f� <br /> 8'/.'x I1'Reduced Plan or Map B-'�' Hazardous Materiels Disclosure Survey ❑ <br /> Davelopmont Impact Mitigation Fee Form ❑ Assessor and History Pages E1_- <br /> Names List• Oi' S-1/W.I.,Will Sorve'Latter' ❑ <br /> General Plan Map• ❑ Zoning Map' ❑ <br /> Sails Raped- ❑ Soils Suitability Study• ❑ <br /> These materials may not be required for cartel,eppil-tians. Check the application type for details. <br /> Tentativa Maps <br /> i <br /> Map Signed by Owner ly Tract Number and Nam (Major Subs only) ❑ <br /> Sepia ❑ All Lots Numbered D-- <br /> Contour <br /> iContour Lines 6.- Loc.tlon of Well and S.ptic System Q--- <br /> Agrlcultural Home.ile Form Q-- Adjoining Property Owners Names on Map Ili <br /> E.cevsllons <br /> Reclamation Plan and Schedule ❑ Financial Guarantee ❑ <br /> Typical Cross-sections ❑ Elwatlon Calculation Schedule ❑ <br /> Engineer's Stamp ❑ <br /> Completed By: <br /> eppcnu.rm - - <br /> 1 � � <br /> f 'r 'F17i• <br />