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APPLICATION CONTROL SHEET <br /> "�Y <br /> a��as � e aiYoI>rCowp�4tTlyx»UeveWpmenc Stn stWs"s��`M . <br /> Preflp(s❑Yo wlN- Fee Receipt Number: Date <br /> File Number. Fier j U Rmtipt Number. (os Data -- U -q <br /> File Number Fee Receipt Number. Date <br /> Life Numbe Fce Rooeipt Number. Date <br /> Project Description: r <br /> n w <br /> Project Location: r n — <br /> fz l GVH <br /> Address $p e1 l 1� 0 S Oct L t% I "tt.-o <br /> U� <br /> APN(s) 2-39—03, —o<( <br /> rEnterprisc Zonc ❑Ya Oltro General Plan Designation: C F S <br /> ty Zoning C i`S Zoning Map: Lo,fti* General Plan Community: _g <br /> ftanZd �'�.tllaeen[Tand:Use �sa N . �rskGenerat Ptm �s O S G-Li0 C-FS <br /> South (/o <br /> East: C A-C Y V <br /> West C Fs -4 ,S C-FS A w-y d <br /> 100-Year Flood'p�a❑No Zone Williamson Act-'jCes❑No Prime Soil❑Ya❑No❑NA <br /> old <br /> Airport Any:❑Yn t o SPcc1Ge P120(3)❑Ye4No Supervisorial <br /> Name Road Name: District: S <br /> History: N i ,�.t-c%US �•t..,k�, <br /> RM��.,�"�'x`P,. ' <br /> Completed Applications Forms Owner or Agent Signature <br /> Copy of Deed or Preliminary Title Report' 6� Hazardous Materials Disclosure p� <br /> 8 1!Y x 11'Reduced Plan or Map 6� Copies of Plan or Map B� <br /> Soils Suitability Study, ❑ Assessor and History Pages B/ <br /> General Plan Map,/Zoning Map* ❑ Soils Report, ❑ <br /> Subsidence Arca❑Yes❑No Expansive Soil ❑Yes❑No <br /> MEOW, "'�L��rt.di . <br /> rA1N"ARPGICKI�WtZ..�QNS��"'�'t <br /> £ '.c`4S',.a ;o:���;�t�¢`�,�x�.+.•. ... 'v'h'f. +���+ A..'' :.... .!1��-. � a "�S. x� > � ,�w <br /> Map Signed By Owner ❑ Tract Number and Name(Major Subdlvtslons Oniy)❑ <br /> Adjoining Property Owners Names on Map ❑ All Lou Numbered ❑ <br /> Contour Lines ❑ Location Well A Septic ❑ <br /> ven <br /> :a„, .a�'}� -tST..,�a � .¢ ., c :'; - Se '"•ie CXVA OPTS t`, �' � "'�i" <br /> oMex<3�.� K< A'e.� ..'fie.xa3'3�i�:,.. ..... .$A�.�,�.�..n.,,,..,. .,..a�.,.. .. ..,. ... X4.._0 .... .or ,��x..a•:-.<, <br /> Reclamation Plan and Schedule ❑ Financial Guarantee ❑ <br /> Typical Cr=-Sections ❑ Elevation Calculations ❑ <br /> Engineer's Stamp ❑ M.R.Z.❑Yes❑No <br /> Completed BY• N S •L� Dater <br /> ntra.us <br />