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r <br /> -- APPLICATION CONTROL SHEET <br /> a a xy� <br /> `^.P:; s3 srkp°ks:;� Ysx x q;c.tJ'¢?S.t`•�+fl.� '� <br /> # To ba'eompI611A bave oplif�M tierYloa ataH v :. a� ,� •• <br /> PreApp Only: 0 Yes O'ITo �� Fee: `' Receipt Number. Delo: <br /> /2 210.0 Rsoel Number: 396 Z Date: 11-2-3 <br /> " <br /> File Number: ' -S4--9z-DObd Fee: Pt <br /> File Number: <br /> ' Fee: ' Recelpt Number: Data: \ <br /> • Fee: Rsoelpt Number: Onto: <br /> File Number: ` <br /> , <br /> t Description of Project /rL^. A-;----- Ira-/cJ-TroN -/O �S -A-M Sal <br /> I h 27,40 --3 ca u-z>< <br /> r-a.or �6�a-a•r 4-3 i•E 36a✓� ZZ.SELzc,J <br /> .! <br /> /N J=/JL` /'•L4S E.3 pVC/r_ .�.-t'?Zo-7Cl,H,�-TCe- r-K]u•C_ <br /> Q N T F1= A/.a 2TiF 1.D E' nTs I E�%-/L�.IC /�O.e4•A / /S`J <br /> Project Location: <br /> YJt:ST OF �uSTrr.e �oA-7a NO2T1�Ltt..(--5- <br /> Address: 7,9 1-7 <br /> �• !-S TI C,-- /�O d-a �'T C-,l-.`•-IPO /Sz.Z� <br /> I.» APN(s): 005-ZvA--4-1 <br /> General Plan Community: <br /> General Plan Doslgnotlon: A"16 <br /> Zoning Map: <br /> Lour Property Zoning: �-1G— Overlay Zone(s): <br /> Adjacent <br /> General Plan Zoning <br /> North: <br /> 1 <br /> South: <br /> East: <br /> West: <br /> y�o../E <br /> Williamson Act s3 Tee ❑ No Supervisorial District: '� <br /> 100-Year Flood ❑ Yes J�lgO•'L" <br /> AlrportArea: Lor,./ <br /> DrCLD's SpeciflcPlan(s) ❑ Yes, o: <br /> History: .X7 r- 59-32- 195-9 Z-81 <br /> x♦� CHECK1 77777. <br /> V. <br /> x. <br /> LIST•, _-- <br /> ( /All Appllcadons <br /> Completed Application Forme Owners'Signature <br /> .�,.r,..� Coples of Plan or Map <br /> Copy of Dead w-PretlmMory;itle"RePorr- <br /> e'/.'x 11'Reduced Plan or Map Hazardous Materials Disclosure Survey �` <br /> -.;.• <br /> Development Impact Mitigation Fee Form �'❑ - <br /> Assessor and History Pages 21 <br /> ,�' Sewer/Water'Will Servo*Letter• ❑ <br /> Names List <br /> i <br /> General Plan Map 0 toning Map• ❑ <br /> • � JJ <br /> I 13r.••'�' Solle Suitability Study• ❑ <br /> Sells Report' <br /> Subsidence Area LJ Yes � '•^ <br /> No - ,1 ❑ Yes No <br /> R' Expansive Sof Area <br /> • These materiels may not be required for certain epplicallonsl11 Check the application type for details. <br /> i <br /> Tentative Mape <br /> Map Signed by Owner; ❑ 1• •�'' ' ?tact Number and Name(Major Subs only) ❑ <br /> Adjoining Property Owners Names on Mop ❑"'1 ' <br /> All Lots Numbered <br /> F ❑ <br /> Contour Lines . Location of Well and Septic System <br /> ExeaVailOrte <br /> er• ❑ <br /> Reclamation Plan.and Schedule <br /> ❑ •lI a FlnancW Guarantee <br /> Elevation Calculation Schedule <br /> ❑ <br /> Typical Cross-sections �� � 1 ❑ � '• <br /> Engineer's Stamp <br /> Data: <br /> 12�/-92 <br /> Completed By: <br /> appcntr.rm - <br /> � I.�r <br />