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APPLICATION CONTROL SHEET <br /> ., , } '9��b+`3'X'S: Y"x`'i'��' dk>Y�'.vfr�.};! 7gzrg•, k -� <br /> k.: X <br /> PieApp Only; ❑Yos. 'pCNo Fee: Receipt Number. <br /> Doi a: <br /> Filo Nurnbor.�Z— IS <br /> _3 Foo; 15 YS . Recelpl Number: j 0 1 Dale: 1' <br /> G <br /> Filo Number, Foo: J Sr S� Rocolpl Number. $ 7S <br /> Dole; <br /> Filo Nurnbor. Foo: r - <br /> 7}C Receipt Number; Dole: <br /> Doscriplion of Projacl (� <br /> /1+1 L!V O i2 C 4 R (If r c T <br /> r?IUlvv2 � <br /> 2cz _ <br /> � U ..ts+ <br /> 0 ✓+rfly>7ur PAAC-af PriRty3, " � !f�'n` c. <br /> —'— — l 0&4 <br /> Project Location: rV u <br /> is c,9ta-1 { (- _ SAc._TN f R <br /> Addross: '23 <br /> APN(s)• it, -- <br /> Oonoml Plan community: _ General Pion Doslgna11 n: <br /> KI <br /> Zonlnp Mnpt tiT -S' Properly Zonlnp: Liff. ' <br /> Adjecent O.norel Plan <br /> —-- Zoning <br /> Noilht —---- <br /> � �' `>'C <br /> -- <br /> yG- 4p <br /> East: C,•(y �t S7k/ll <br /> Crlr <br /> West; �f <br /> 100 Year Flood es ❑ No ,1 2 Willlonrson Aci A Yes ❑ No Suporvlsorinl Dlshlcl: <br /> Alrpoil Aron; <br /> Specific Plon(s) ❑ Yes ❑ No; <br /> 1 Ilslmy: <br /> t <br /> s t <br /> �a,.:k a1- 'r�` � ..< ` I C K L) TOR <br /> All Appllcallons <br /> Completed Applicnllon Forms <br /> Owners'Slgnaluro p/ <br /> Copy of Dead or Preliminary Thio Report• M� <br /> Copies of Pion or Map <br /> 8%'x I I'Reduced Plan or Mnpl [yG I-fosaidous Materials Dlaclosuro Survey ❑ <br /> Development hnpncl Mltlgnllcm Foe Form ❑ Assessor and I Ilslory Pages <br /> Nomas Lim• — — — <br /> Sower/W.lor-will Some.Lefler• ❑ <br /> D.nornl Plan Mop• - ❑ <br /> Zoning Map• ❑ <br /> Solis noporl• ❑ <br /> _ Sells Sullabillly Study• ❑ <br /> Theso mnloriois may nol be required for coduln appllonllons. Chock"In nppllcallon typo for dolalls. <br /> Tonlallvo Mops <br /> Map Signed by Owner and Nome(MnJor Subs only) ❑ <br /> Soplatkgg <br /> ered 4 �� ❑ <br /> Contour Lbws il and Sapllc SyslamAgdculluroi I lomosllo Form erly Owners Names on Mnp <br /> Excavations <br /> Iloclnmallon Plan end S.I,.dUle ❑ — <br /> _ financial 6unrenloa ❑ <br /> Typical Cross-eecllons ❑ <br /> Elovnllon Cnlculollon Schedule ❑ <br /> Engineer's Slamp ❑ <br /> Completed By: <br /> appcnir.,ln Dal.; ��_ <br />