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APPLICATION CONTROL SHEET z x< x to ba c<inplelerT,(iy bnvelnpmeni Snrv,ee at8►f�y 1; Onto: Foo: Flocolpt Number: ProApp Only: ❑Yos ❑ No Dale: foo: nocolpl Num of: Pilo Number: oc flocolpl Number: C Dale: 1 y _y�' Fac: 's � FII°Number: {� — 3 ato: D Poo: nocelpt Number: Filo Numbor. �r Doscripllort of Pro(oct Si /J G . I Project Location: c -e C.5 r.._�—.— Pr nom_ ` ` 57 n�rdresr C p S l F APN(s):B'l`'1-(20—29.So 3 3 General Plan Doslg^all°^' J, Genorol Plan Community: Overlay Zono(s): i Prepaty Zoning: Zoning Map: Lo —.— Zoming Genotal Plan Adjacent North: ►` �r �1 U South: q v East: r � C�-} d.� U•� `L No Suporvlsorial District: Ycs ❑•No Williamson Act ❑ yes 100-Yonr Flood ❑ Yes ❑ No: Specilic Plan(s) ❑ G AirportArcn: to g Z 6'•; �2- N Cog c33 Fllslory: pow CHECKLISt f> All Applications J' Owners'Signature fJ Completed Application Forma Copies of Plan or Map of Deed or F� Pfaminnry Title F1aPo't Copy — � i Inzadoua Mntorlala Disclosure Survey g./,'x I I'noddcod Pian or Map 9 Po os ❑ Assessor and History Development Impact Mitigation Foo Form ❑ Sowor(Wator^Nlll Servo'Letter' Nomas List' —�— ❑ ❑ Zoning Map' G°notnl Plnn Mnp' — Soils suitability ❑ C3suitabilityy swdy Soils noport' ❑ Yes �No No Exponalve Soil Arco ❑ Yes Subsidence Arca application type for details. • Thcao materials may mol be required for coAaln appllcatlona. Chock the oPP Tentative Map* ❑ Tract Number and Nemo(Major Subs only) ❑ ❑ Map Signed by Ownor ❑ All Lots Numbered Adjoining Property Owners Names on Map — tic System ❑ ❑ Location of Wall and Sop Contour Llnca Excavations ❑ Financial Guoianloe noclmmnilon Pion and Schedule ____� ❑ ❑ Elevation Calcuinllon schedule Typical Cross-soclions Englnocr's Slamp Onto: Completed By: