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I <br /> APPLICATION CONTROL SHEET <br /> T�b,,completed by D.belopment Sorvlce atoll <br /> PreApp Only: ❑Yea k(No Fee: Receipt Number: Data: <br /> F It.Number. M S IJ Z-97 Fee: l([OJ Receipt Number. 2Z;o0:5 <br /> On- <br /> File Number: Fee: AReceipt Number. Dole: <br /> File Number: Fee: Receipt Number: Dal.: <br /> Description or Project M lr.l aV- 5u3or./I St c j A u s�. O G Fi=a <br /> p I IL fkG�6 KE R-EM�i.L (-{viM t �.Ptt:L— KoM A <br /> 3 J.JQ AGCC I�ARG> ` AAP HAJE A 3f-).04 AGS <br /> Project Location: 9,1 s t Cl�-= G F I,I oRTtl Flo K DA-p <br /> 35v' ,Jr of AusT,J WnA-> slo�2ZtFEksr ce}= Maw1}�A. <br /> Address: (21 <br /> 114 A, I APN(s): ZC(O- U(yO- 13 <br /> General Plan Community: r/lp,r,jr1Q General Plan Doslgn.tlon: AGr2 tau sz.r-- <br /> Zoning Map: k.- C, Property Zoning: N&I-Q V Overlay Zone(,): <br /> Adjacent General Plan Zoning t <br /> North: urLr= <br /> South: <br /> East: <br /> West: 41 <br /> IOD-Yew Flood ❑ Yes No Williamson Act ;Q(Yes ❑ No Supervisorial District: Zj <br /> Alrport Are.:S�K�..1 Specilla Plena) ❑ Yea No: <br /> History: — <br /> CHECKLIST <br /> All Applications <br /> Completed Application Forma ct Owners'Signature IO <br /> Copy of Deed or Preliminary Till.Reood• of Copies of Pl..or Mop !f <br /> B/•.IV Reduced Plan or Map Hazardous M.leriels Disclosure Survey ❑ <br /> Davelopmenl Impact Miligotlon Fee Form ❑ Assessor and History Page, <br /> Name,List• D SeworrWater Will Soma'Letter• ❑ <br /> General Plan Map• ❑ Zoning Mop• ❑ <br /> Soils Report• O 1 Sella Suitability Study• ❑ <br /> • These materiels may not be required for certain applications. Check the appiicatlor,type for details. <br /> Tentative Map. <br /> Map Signed by Owner Tract Number and Name(Major Subs only) ❑ <br /> Sepia ❑ All Lots Numbered PS' <br /> Contour Linea Cl Location of Well and Seplle System <br /> Agricultural Homesile Form ❑ Adjoining Property Owners Names on Map <br /> Excevallons <br /> Reclamation Plan and Schedule ❑ Financial Guarantee ❑ <br /> Typical Cross-eectlom ❑ Elevellon Cslcul.lion Schedule ❑ <br /> Engineer'.Sl.mo ❑ i <br /> Completed By: ATyLIUA 1�uGT� re Data: Z <br /> eppcntr.tm <br /> Ar <br /> .k <br /> A. <br /> f- <br /> - x <br />