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APPLICATION CONTROL SHEET <br /> e�rnpleled by Development Service staff <br /> ProApp Only: ❑Yes ❑ No Few Receipt Number: <br /> Dote: <br /> FFilo Number: m j- 9oZ -�& Fee:/j Receipt Number: Dole:7-/e 4z- <br /> File Number: Feo: Receipt Number: Dole: <br /> rDosctiptlon <br /> mber: Fa <br /> Receipt Number: Ll,Date: <br /> of Project <br /> G�ce a /-Sam lir�v- , � rrn -7- <br /> • SaGte- .l�x�� <br /> 07 <br /> Project Location: CIX 117/v <br /> . � to <br /> Address: <br /> T c�o�7 APN(s):�53 aao13 <br /> General Plan Community: General Plan Designation: 1261,y6e,14j <br /> Zoning Mop: o-,/ Property Zoning: -LIO Overle Zone(s): <br /> Adjacent General Plan Zoning <br /> North: z;V �Az-� <br /> South: <br /> East: <br /> _7 <br /> West: <br /> 100-Year Flood ❑ Yes No Wllliamson Act ❑ Yes $ No Supervisorial District: S <br /> Airport Area: Soocific Plants) ❑ Yes No: <br /> History: <br /> CHECKLIST <br /> All Applications <br /> Completed Application Forms Owners'Signature <br /> Copy of Deed or Preliminary Title Report' Copies of Plan or Mop <br /> 8/'x 11'Reduced Plan or Map Hazardous Materials Disclosure Survey ❑ <br /> Development Impact Mitigation Fee Form ❑ Assessor and History Pages RI <br /> Names List• M( Sewer/Wator*Will Serve'Letter' ❑ <br /> General Plan Mop• ❑ Zoning Mop' ❑ <br /> Solis Report` ❑ Soils Suitability Study• ❑ <br /> These materials may not be required for ceiiain applications. Check the application type for details. <br /> Tentative Maps <br /> Mop Signed by Owner Tract Number and Name(Major Subs only) ❑ <br /> Sepia ❑ All Lots Numbered �$ <br /> Contour Lines Location of Well and Septic System ❑ <br /> Agricultural Homesile Form Adjoining Property Owners Names on Map <br /> Excavations <br /> Reclamation Plan and Schedule ❑ Financial Guarantee ❑ <br /> Typical Cross-sections ❑ Elevelion Calculation Schedule ❑ <br /> Engineer's Stamp ❑ <br /> Completed By: Dole: '7-/0-I/y <br /> appcnlr.rm 3-18-9 <br />