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APPLICATION CONTROL SHEET <br /> To be completed by Development Service staff <br /> PreApp Only: C Yes p No Fee: Receipt Numb— Date: <br /> Fiie Number 144 �- 3 Fee: yl�D.!•C� I Recei t Number. ZC�) 'f���1!l <br /> c 5-c'G p Date: <br /> Fiie Number Fae: Roccipi Number Date: <br /> File Numbcr Fee: Recc,pl Number: Dew <br /> Descr ption of Projec' A,",.- •5 r 1.hr}C�t.tJ 1 i[Yt_ -i7 Q- Z <br /> Bli.'>'t.G/•✓ _fir7G'rC�.'fZ+� �lt.✓C Gil'.. � C,rt=c :� •,,,,` GL <br /> Frojoct Location: �l ')amu' SrZ,iL-TG -fi-. Cin d <br /> / n / <br /> G 7C oma,. I <br /> Address: Sao E-G��, <br /> --7SZ2C: APN(s): 003-1(c0—Z <br /> General Pian Communay: General Plan Desrgnmion: .i x <br /> Zoning Map:[,� i.... Property Zomnc: Overby Zone <br /> (.): <br /> Adjacent I General Plan I Zoning n <br /> North: A <br /> r u ut.rt. I 6,—to <br /> South: (( I y f <br /> east: I f l I r l <br /> West: I (I I rl <br /> IOD-Year Flood ❑ Yes No I Williamson Ac; ❑ Yes No I Supervisorial District: <br /> Airport Area. I Specific Plans) ❑ Yes Nd: <br /> History nM— 5S y — 3 V—F 4—5 <br /> CHECKLIST <br /> All Applications <br /> Completed Application FormsI Owners'Signature <br /> Copy of Decd or Faoiiminary Title Repo,• -�/ Copies of Plan or Map (� <br /> 81W x t t'Reduced Plan or Map [y I Hwaroous Materials Disclosure Survey p <br /> Development Impact Maicatron Fee Form C I Assessor and Hisiory Peo_es <br /> Names List• ❑ I SewerAVater'Will Serve'Loner• p <br /> General Plan Me,- ❑ I Zoning Map• L, <br /> Soils Report• ❑ I Soils Suitability Study• p <br /> • These materials mey not be reouired for certain applications. Chock the apolicaaon type for detaiis. <br /> Tentative(daps <br /> Map Signed by Owner I Tuet Number and Name(Major Subs only) ❑ <br /> Sepia rz,/ I All Lots Numbered <br /> Contour Lines / I Location o1 Well and Septic Svstam f� <br /> Agricultural Homeshe Form @' Adjoining Property Owners Names on Map ivy <br /> Excavations <br /> Reclamation Pian end Schedule C Financial Guarantoo ❑ <br /> TyDical Cross-iactionz <br /> Elevation Calculation Schedule ❑ <br /> Engineer's Stamp <br /> ❑ <br /> tCompbted 6 ,,�I //�� ` <br /> y' V V t-U iii Date: I II <br /> appentrurm <br />