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APOLICATION CONTROL SHEET <br /> To be completed by Development Service start <br /> PreApp Only: Oyes ❑ No I fee'. I neceipt Number: Date: <br /> Fife Number: IYt`J'rI( 'ter. (z 115.s''-' Receipt Numoer: 'Z..G;(G"j Date:c !U 91 <br /> File Number: Fee: '-115."c" Receip!Number: I Dale. <br /> 4U <br /> File Numoer AL.OL ( Fe<: �S' I Receipt Number. Date: <br /> Description of Project (�(1 Ir,3 G(=- `-+u�>.7, t,l G <br /> E-eTTl1`fpN\ J`r^V-r 11;(- <br /> f'-A;2-ce— 6- A Z.L. AcF-e r%,J, dc- h,- P-,ENIAt,�I r�G <br /> I"7 4 ll> ff <br /> rroleet Location: lSC�il� `�tDc �{_ L-Tc:.i:- -�.�-v' I' 10 L•1ST <br /> Aderess: <br /> i <br /> APN(s):Ll ' - 7-�C.. <br /> L. Ir <br /> Genera!Plan Communin•: I General Plan Desicnanon: <br /> Zomnc ac.cz, Com. NAo I Property Zoning 6,G-"{C> Overlay Zone(s): <br /> Adjacent I General Pian Zoning <br /> North: l�Ovl.i L-t .�W I k-(, 41 <br /> South: I 11 I i <br /> East: <br /> IDC-Year Flood C Yes O-No I Wilhamson Ac: C l as No I SuDervisonel D,sv,C <br /> Airport Atea:L_-VI 6.52Pc�'u'r I Soecitic Plans) C Yes `E-� No <br /> H,storv. M - -7L' <br /> CHECKLIST <br /> All Applications <br /> Completed Application forms �_/ Gv+nen'Slpno!wr <br /> Copy o:Deed or Preuminary Title Repor,' d( I CDptaS o:Pian or Ida: 17 <br /> 81"9 x 11'Reducec Plan or Map ^{.'� Hexaroous Matena!s Disclosure Survey ❑ <br /> Develepmew Impact Wioation Fee Form C I Assessor and Histon•Pages ❑ <br /> Names Lis!' SewerhYatcr'YJill Serve'Lene'' C <br /> General Plan Ma:' ❑ I Zoning Mec' C <br /> Soils Pieper.' D I Soils Sui:abil;n•Swot'' C <br /> These maieria:s mei'no%be iezvired lot certain 0PDl1cal,o-. Checi:the soplication Noe tot oclails. <br /> Tentative flaps <br /> M—Sw_had by Gwne' �a I Trac:Number and Name(Mawr Suos only) �C../ <br /> Seoie I All Lois NumDeFec ya, <br /> Contour Lines Location o!Well and Seotic Sysie.m �[ <br /> Apricullural Homesile Form Adiotnin9 PropanV Owners Names on Map <br /> Escavollons <br /> Reclamation Plan and Schedule C Financial Guarantee ❑ <br /> Typical Cross-secl,ons C Elevel,on Calculation Schoeule D <br /> Engineer's Slams ❑ <br /> Completed 6t': 1�A--r� '(e�tc� � Dale <br /> C,lily( <br /> a ppcn-mm ,,•ta-t'1 <br />