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APPLICATION CONTROL SHEET TO bu completed by DtWopmenl Service stmt ProApp Only: ❑Yes No Foo: Rocolpt Number: Data: Filo Number: CJ V 12Z - Z(-r Fe . OL�05.er� Receipt Number: cj Z_ Dole:g 13 cj_ File Number: Fee: Receipt Number: Dole: Filo Number: Fee: Receipt Number: Dole: Descrlpllon of Project A, d S c FE PA 1 r A i�)o Project Location: oma( Sr,G �G�1 -ST- Address: STAddress: L'a 3 e, E "c�r_"r_ I,1�_04,r-� - f�� ks• �, C A Z'cam APN(s): 0 1-7- 0 9-c- o'E, General Plan Community: General Plan Doslgnalion: YS4�.1 u Zoning Map:6C_,j(�-gA r.r.ZcP Property Zoning: AG-t- 0 Overlay Zone(s): Adjacent General Plan Zoning North: pe��-1 e,u L---u R-E e— 0 South: East: West: 100-Poor Flood ❑ Yes No Williamson Act ❑ Yes eNo Suporvisorlar Dlslrlcl: Airport Arca: W n\ L-A�A0`S, Specific Plan(s) ❑ Yes I/No: I][story: S A, CHECKLIST All Appllcallons Completed Application Forms Owners'Signature PY Copy of Dead or Preliminary Title Report• t'd Copies of Plan or Map BY,•x 11'Reduced Plan or Map (tY Hazardous Materials Disclosure Survey P� Development Impact Mitigation Fee Form ❑ Assessor and I-Ilslory Pages [� Names List' Sewer/Wolof*Will Sorvo'Leiter' ❑ General Plan Mop• ❑ Zoning Mop' ❑ Soils Report' ❑ Sells Suitability Study' ❑ These materials may not be required for certain appllcalions. Check the appllcollon typo for details. Tentative Maps Mop Signed by Owner ❑ Tract Number and Name(Major Subs only) Cl Soplo ❑ All Lots Numbered ❑ Contour Lines ❑ Location of Well and Sepiic System ❑ Agdcullurai Flomesile Form ❑ Adjoining Property Owners Names on Map ❑ Excavallons Raciomnilon Plan and Schedule ❑ Financial Guarantee ❑ Typical Cross-sections Cl Elevation Calculation Schedule ❑ Enginoor's Stamp ❑ Completed By: �1,r \Glias Yd ev Data: nppcntr.rm3-18-91