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APPLICATION CONTROL SHEET <br /> ` s' ; T6 bo comiiloled��tinvelnpmenl S�nw�$'�r{�1 zz• � s � E� � , .yam•: <br /> necolpt Number: Data: <br /> PicApp Only ❑Yos 0-No <br /> Foo: <br /> '0�( Ftocel lNumber: Date: Z-I'�;3 <br /> Filo Number:5/Q-L13-�I S foo: P (1^ <br /> File Number: <br /> Foo: Floccipl Number: Dole: <br /> Fila Number. <br /> Foo: Receipt Number: Dale: <br /> Description of Project S`'�' 2 g/') C A 10,0 <br /> 12-6 y <br /> Project Location S'GU tit S r,,k O t <br /> Or,vl t <br /> Addross• 2D 700 R111e4- <br /> APN(s): <br /> General Plan community: General Pion Doslgnnllon: G— <br /> Zoning Mnp: <br /> Propcity Zoning: Ovariny Zono(s): <br /> Adinconl <br /> General Finn Zoning <br /> Norll�— A <br /> South: -yd <br /> Enst: <br /> 14 C— <br /> West: A6- <br /> 100 Year flood ❑ Yes No Williamson Act ❑ Yos -/No Supervisorial District: <br /> Airport Arca: Specific Plon(s) O Yes [d No: <br /> History 5c3 93 (t^,d/ U Rel 4� <br /> sa r EZ�a i <br /> ' <br /> CHECKLISt <br /> fAll Applications <br /> Completed Application Forms Owners'Signature B� <br /> Copy of Decd or Proilminnry Title Ileporl• 2-- Copies of Plan or Mnp <br /> 8%'x l l'Floducod Plren or Mnp j1-- Hazardous Materials Disclosure Survey f� <br /> Development Impact Mitigation Foo Form ❑ Assessor and Hlislory,Pages ❑ <br /> Names List• Sower/Walor'Will Servo'Letter• ❑ <br /> General Plan Mnp' <br /> ❑ Zoning Mnp' ❑ <br /> Solis fleport <br /> ❑ Soils Suitability Study• ❑ <br /> Subsidence Arco ❑ Yes ❑iNo Expansive Soil Area ❑ Yes No <br /> • Those rnnicrlals may not be required for corlaln eppllcnllons. Chock Ilio application type for details. <br /> Tentnlive Maps <br /> Mnp Signed by Owner ❑ Trocl Number and Name(Mnlor Subs only) ❑ <br /> Adjoining Property Owners Nomes on Mnp ❑ All Lots Numbered ❑ <br /> Contour Lines ❑ Location of Well end Septic System ❑ <br /> Excavations <br /> floclamnllon Plan and Schedule ❑ Financial Guarantee ❑ <br /> Typicni Cross-sactlons ❑ Elevation Calculnllon Schedule ❑ <br /> Engineer's SlnmP 0 <br />