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APPLICATION CONTROL SHEET <br /> ;To be cnmplcicO by'pbvejdpipon(Sdrvlcosial! <br /> F <br /> Only: ❑Yes �No Foe: Receipt Number. Dnlo: <br /> ber; fee; <br /> M — -L - 3 S`�S Receipt Number: ti p Dolo:`_j)-ry <br /> Filo Number: Fou: (�S� Receipt Number 5 ?3 Data: <br /> Filo Number: <br /> Fou: 30 Receipt Number. Dole: <br /> rb(f <br /> Description of Project r/ 4 rf <br /> YYI/ 0V_ _$y R t7!!o[ [inch/ TP p1L!lV.,Z A <br /> d G2 fr P,rn [fir /aLJ 7-0 3 A I Ff I.S. <br /> Project Location: ,V o t 7 U 1b <br /> mac-- G(1 r-Al 6r n- r?0L r hk So 4V _ <br /> An 6.t�e-T c lCovk-h c So ru ScT 7z)CrT-rfyU <br /> Address: '2.3 r,ky S,— rz(O <br /> APN(s): /(p(—�oU-G — <br /> Oenoral Plan Community: General Plon Designation: 'IZ I C <br /> Zoning Mop: 's Property Zoning: M-6-_y Overlay Zone(s): <br /> Adjacent Gonerol Plan Zoning <br /> North: 't/r to <br /> South: /f _ <br /> East: C.,.E Cf S7 kA) C r !' <br /> 100-Year Flood tees ❑ No /i 2. X Williamson Act Yes ❑ No Supervisorial District: <br /> Airport Area: F Specific Plon(s) ❑ Yos ❑ No: <br /> I Ilstory: <br /> '.c 1�CICLIST' 3 < <br /> `` Ali Applications <br /> Completed Application Forms 0. Owners'Slgnniuro <br /> Copy of Dead or Preliminary Title Report• ISS Copies of Pian or Mop 01 <br /> 8'/.'x 11•Reduced Plan or Mop pG I laiardous Malcdols Disclosure Survey ❑ <br /> Development Impact Millgotlon Fee Form ❑ Assessor and f lislory Pages �s <br /> Names List SoworlWalor'Will Sorvo'Letter ❑ <br /> General Plan Mop O Zoning Mop' ❑ <br /> Soils Report• ❑ Solis Suitability Study ❑ <br /> Thoso materials moy not be required for certain applications. Check the application typo for details. <br /> Tentative Maps <br /> Mop Signed by Owner ❑ Traci Number and Nnmo(Major Subs only) ❑ <br /> Soplo ❑ All Lots Numbered 4 .Cl� ❑ <br /> Contour Unas _ ;l Location of Well and Septic System [l.� <br /> Agricultural liomosito Form f.' Adjoining Property Owners Nnmes on Map <br /> Excavations <br /> Rocinmation Plan and Schedule ❑ Financial Guninnloo ❑ <br /> Typical Cross-sections ❑ Elevation Cnlcuioilon Schedule ❑ <br /> Engineer's Stamp ❑ <br /> Completed By; ODIC: <br /> appcnir-rm <br />