Laserfiche WebLink
i <br /> APPLICATION CONTROL SHEET <br /> otLe - p 41"... °k� <br /> ?MAW CYcs ON* Acc Rmrdpt Namb= Data <br /> l'iiaNumbee _EJ}�4$ Ise `f�y`� �� Rom*Number* Co rl nara <br /> Me Number. Rom*Number. Data j <br /> 1c Nambm- Rsrript Numbs: Data f <br /> Project Desaivion: La{ L.4 ri et a tr toneb �«��• <br /> o.rce.f so I-a h, rc air e-- <br /> L OL <br /> 1 <br /> f <br /> Addrtrs (� -ci 1,01 <br /> l <br /> APNca) vrrr7 -esz-r3 <br /> Ente prim Zane: GYo <br /> 0Y26. Gmu=1 plan Dezignadow V L I <br /> i <br /> Property Zoning R(,(-2 G I Zoo*Map-Sr I<n! ift�j jr Generai Plan Community: S' cr c or t <br /> fi.wXtfiacenrL.ind;lJic yx °r GenenYPlan> I �2nnn <br /> Nash: 0 <br /> South <br /> ?,-U t< <br /> Fast: R )4 L4,-2-v <br /> Wcsc I (L 1 r-L- <br /> 100-Yat,F'?ood o CK. Zona A 0 -6 I Wifltsmson Act QY=j1 o ?rime Soil mYo QNa CNA, <br /> Airport'Ira:GYes ped, Specirx Plan(s)GYea CNo Supervisorial 3 <br /> tismc Road Name: D strict <br /> Hiscarr. II <br /> I <br /> 'rc »"� «n �a ��.w.r.. j <br /> a �a n rs6 .xx i2s': CHECKI LSZ ALL.IPPLIC.lI30Cl� w w g -„s. s 3 z z. x <br /> C3mplc:ed Applications Form Owner or.15rnt Signature la-- <br /> Capt'of Dc:a or Prtl[minary Title Repan• Hazardous Maleriaia Disclosure ❑ <br /> 3 L3'z 1:”.duccd Paan or Map � I Copies of Plan or Map <br /> Sails Suicabii:::Study 0 Assessor and Histary?ago Y <br /> Crrncral?'a.:`ap'/Zoning Map' G Soils Repan, G <br /> Subsidcnm.V=GYea CNa Expansive Soil GYa Wo <br /> ? 'TFsr�SE�SATr:°LTALS 3rEAYNOTx"i��EgtIiRED Fp[t CL''tx�:NAP"LIGATIONS ,� �`�' � <br /> *y act» CriEC{ r1PL'r'CAT70"I:ufPa <br /> ,..,., .....�...... ....... =.a,.,>. x.. .s.;k�o-:.s �.a....:vm>v:s t-�w:.',��.a,E,,,:`Ase•.u�.�.L::r, ' <br /> Liao Signed By Owner G I Trac Numb,,and M..(Major Sabdlvtsions Only)G <br /> Adjoining?cper:y Owners Namet an Map C All Lau Numbered G <br /> Contour:-Inc, p I Lecstloe Well S Scpile <br /> im,A <br /> A 'n <br /> IC... ... <br /> 270KS : .ate �a 3 s m <br /> v <br /> �........ . <br /> Zeciacation?!an and Sedole G Financial Guarani,, G <br /> Scc:iaas G i !c^atian C:1M atlons q <br /> ;-ginccr:5[a-rp I M-ILZ GYa nNo <br /> Dale: <br /> Wairvt.:a + <br /> 7 <br />