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APPLICATION CONTROL SHEET <br /> Ta be eomPleled by Dayelopmenl.5erv1ce sluff <br /> P,.App Only: ❑Yea No Fee: Receipt Number. Data: <br /> File Number. ,h J'_ Z- -7d Fee: L' Receipt Number: <br /> z Z2 76 Data: <br /> File Number: Fee: Receipt Number: D.I.: <br /> File Number: Fee: Recelpt Number: Data; <br /> Descrlpllon of Project q , ,(/a IL s uAp,vi /4u TD C(lam-f? A <br /> G Rf HO f 'Co A. l c e:/" <br /> Project LoaaUen:o,. 1900 6 z /,7 G <br /> Add.... <br /> APN(s):o <br /> General Plan Community: General Plan Designallon: <br /> _ G <br /> Zoning Map: D-4 Property Zoning: -l�n Oved.y Zona(,): <br /> Adjacent General Plan Zoning <br /> North: /-,' ,,/X"'xAL <br /> South: <br /> Eeel: <br /> Wes[: <br /> 104Veer Flood ❑ Yee No Williamson Act Yes No Supervlsodei District: <br /> Airpod Area; k, <br /> J� Specific Plans) ❑ Y.,IMNo: <br /> Hlalory: <br /> CHECKLIST . <br /> All Applicellons <br /> Complaled Appllcellon Forme ]![' Owners'Signature 1R- <br /> Copy of Dead or Preliminary Tilla Report' '1 Cople.of Plan or Mop ❑ <br /> B''/s'.11•Reduced Plan or Map �r Hazardous Material,Diacloauw Survey ❑ <br /> Developmenl Impact Millgollon Fee Farm ❑ Assessor and History Page, 0 <br /> Names LIM' Sewer1W.l.,'Will Sane'Latle,' ❑ <br /> General Plan Map• ❑ Zoning Map' ❑ <br /> S.R.Report• ❑ Seib Suitability Study' ❑ <br /> --- These mnterfels may nal be required for certain application. Cheek the applieellon type ler detalla. <br /> Teni.11ve Map. <br /> Map Signed by Owner Tract Number and Name(Major Subs only) ❑ <br /> Sepla ❑ All Lob Numbered Q( <br /> Contour Unee Locetlon of Well and Septic System <br /> Agricultural Homeaite Form Adjolning Property Owners Names on Map j1T <br /> E.....11... <br /> Reclamation Plan and Schedule ❑ Flnanciel Guarantee ❑ <br /> Typical Cross-eectlona ❑ Elevation Calculation Schedule ❑ <br /> Engineer's Stamp ❑ <br /> Completed By: e Dula: <br /> appcnlr.rm3-19-11 <br /> g! <br /> i <br /> .� <br /> IV <br /> 14 <br /> 0. <br /> � yy <br /> li. f. <br />