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APOLICATION CONTROL SHEET <br /> To be completed by Development Servlc•siatt <br /> PreApp Only: ❑Yea O No Fe.: Receipt Number Date: <br /> File Number. 5_ • Fee: O 60— Receipt Numbe, D.Ic <br /> Fila Number. Fse: ^23�(• Raceipl Number: Dale: <br /> File Number: Fa.: I✓j Receipt Number. <br /> ILz G D.� <br /> Descnpllon of Project 1 F <br /> P",--L- I —Z c� nr a.0 Arw o mN frac <br /> aun <br /> pe <br /> Project Location: Yom. i I I <br /> S <br /> Address: (,721L Fti 95- <br /> APN(g 22 TZ-130-/3 <br /> General Plan Community: Genor.l Plan Designation. ", -/{ <br /> Z.n.hg Mep:J Property Zoning: — Overlay Zone(s); <br /> Adj.—I General Plan Zomng L� <br /> North: <br /> South: <br /> est: <br /> West <br /> 100-Year Flood ❑ Yes S No Williamson Act M Yes ❑ No Supervisorial District: <br /> Airport Area: AL Specifie Plans) ❑ Yes 9k No: <br /> HislorY: —� <br /> CHECKLIST <br /> All Applications <br /> Completed Application Forms Owneri Signaler. yo <br /> Copy of Deed or Preliminary Title Repon• Cop.os of Plan or Map <br /> BW x I t'Rod...d Plan or Map Hazardous M.l.ri.ls Disclosure Survey ❑ <br /> D.velopm.nl Impact Mitigation Fee Form O Ass and History Pages <br /> `aures ListS—I(Waler"ill Sale'Leiter ❑ <br /> General Plan Mop' ❑ Zoning M • ❑ <br /> Sails Report ❑ Soils Suitability Study ❑ <br /> These materials may not be squired for con.in eppli-tlons. Check the.pplicalron type for delads. <br /> Tent oliva Maps <br /> Map Signed by Owner T-1 Number and Name(Major Subs only) ❑ <br /> Sepia All Lots Numbered <br /> Contour Lln.f Location of Wall and Sepuc System {[r <br /> Agricultural Hornw.Form Adjoimng Property Owners Nerves on M.p <br /> Excavations <br /> R.cl.m.tion Plan and Schedul. ❑ Financial Gu—nl.. O <br /> Typ—I Crosse.clioos O Elevation Caf.uwlcm Schodul. ❑ <br /> Engineer'.Slamp `�7 O <br /> Complel.d 6Y: ltor.l }l.0 H+ r D.- <br /> sppcn rl.rm <br />