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APPLICATION CONTROL SHEET <br /> To be completed by Development SerAce staff <br /> PraApp Only: ❑Ya. h No Fee: Pecelpl Number: Data: <br /> File Number: LA - 9Z ' 3 Fee: S.o Receipt Number: 41,19 0-:17--30-7 <br /> File Number: Fee: S.L Receipt Number: &ZZ 3 4 D-1-:4,5-1:5 <br /> File Number: Fee: Receipt Number. Data: rr <br /> Description of Project t_I y...(E P(>•)U Nzvl A- u-1« OrA <br /> .IE OF <br /> A425A,iCo Ivµ . o -WA AnJAGE�I <br /> r•a tK a�.urlc�S. <br /> Project L...Ilan: t,jCgV OF LA ka IZOA-o leo <br /> Zlo00 EAS— O n(tv,.j A-p o- <br /> Address: -30(,.5 t . Lh J roa.-p <br /> GA 9533(0 APN(a): 10)-7- 0Z.O- 0Z } af>ti-RS <br /> General Plan Community: MAS. cA General Plan D.Mgnallon: <br /> Zoning Mop: MA.d A PmPmly Zoning: ALI, Z�D Overlay Zone(.): <br /> Adjacent H Gen.ml Pian zoning ave-030" . <br /> North: {LL Au2,, ZAe,-40 <br /> South: <br /> East <br /> Wast: <br /> I0 Year Flood ❑ Yaa (No WMI.mson qct Yea — <br /> ® {a Noa Supervisorial DISIrIcL• j <br /> Airport Area: N Specific Plans) iy.. ❑ No: <br /> History: �.IUmEF-J.'$ EX-til"7$ ((W�[� RU OS 61� GO.�E'C1 <br /> CHECKLIST <br /> All Application; [/ <br /> Completed Application Forma Owners SlgnaWra {l <br /> Copy or Dead or Proliminary Tilt.Report IfCopies of Plan at Map <br /> SW x 11'Reduced Plan or Map ❑ Hazardous Materiel.Disclosure Survey ❑ <br /> Development Impact Mitigation Fee Form ❑ A.....pr and History Pages <br /> Name.List• ❑ Sewer/Water'Will Sarva•Lefler• ❑ <br /> General Plan Map• ❑ Zoning Map• ❑ <br /> Soils Raper! ❑ Salle Suitability Study• ❑ <br /> Subsidence Area ❑ Yea No E pen.ica Soil Area ❑ Ye. No <br /> Thee materiels may not be required for cerhun applications. Check the epplic.ficm type for details. <br /> Tenlativa Mep. <br /> Mep Signed by Owner ❑ Traci Number and Name(Me1or Sub.only) ❑ <br /> Adjoining PropeM Owner.Name.on Map ❑ All Lot.Numbered ❑ <br /> Contour Unes ❑ Location of Well ead Sepdo S,.%m ❑ <br /> F.caystlons <br /> Reclamation Plan and Schedule ❑ Finenclal Guarantee ❑ <br /> Typical Cmssaectlons O Elmdon Ceimiadon Sch.dul. ❑ <br /> Engineer's Stomp ❑ <br /> Completed By: may} p Date: 93 <br /> .Ppcnu-rm <br />