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' r <br /> APPLICATION CONTROL SHEET <br /> comiler,bi- +1•vtlrnfl12 <br /> hl,SF�Y� e <br /> rrOA On ❑Yes ❑ Mo Fon; "ace"',Number; d01o: <br /> Pp h ----- <br /> Filo Numbor <br /> ,f�— roe;'g�.oo nocoipt Number: //S$ Dalo.. <br /> Fllo Number, rau• nocolpt Numbor: Dale: <br /> Filo Number: y. .real nocalpt Number. ale. <br /> Doserfpllom of Pro�oct A U C r <br /> Tv � Co,cl¢f uTtE T �xISTlI16 L.aTs. �kazcF� <br /> 'r"o a►'�. A lis 2.7 Ag `PaITC14 7- CaIi rA�rl <br /> S %5 ACV-155 1. <br /> Projnct Location: F S�R�1�Fl 111 151'4-T-0 <br /> Ot>!-- VMO- T 7 y e�ti,Tac, <br /> Address: `L6,616 1V• S•A�RAM��rQ ?30iJ�� Ya7�� <br /> 70-Iv1�I r C n A6 ArN(o):401—226-02 (o 1 t 1 <br /> 0cnoral pint}Conimmilly: Gonoinl rian Designntlen: L <br /> 7_oning Map: Properly Zordng: Ovelloy Zono(s): <br /> Adf scold Ocnorrral Plan Zoning <br /> Eact: �-- <br /> Wcst: ' m� <br /> io0•Yom flood yes <br /> ❑�lrla Williason Act ❑ Yae f�'ilo 5uparvisorlol District: '7 <br /> Airport Now )VIA Specific rhm(s) » Yes U Po: <br /> f llslory e- ¢ V-71-4(, je[c S QG<4'z 6 346 y {{ <br /> 3i £�r� err rii£: 4"y„x,s3�a € ` bh°P f ka' <br /> •u x'C i Y s�.�'s�#'z z rc if#��� �,r,� � z� i., l i-�,t Nc° �: ^�' st <br /> ; '� <br /> .$.3... <br /> IN <br /> All Aryl Callon* <br /> Cornplalod Application Forms Owners'S1gnelu10 U <br /> Copy of Deed or Preliminary Title naportW-1-- Copies of Pion at Map <br /> a'/.'x i v nod+lced Plan or Map I lazordous Mnlodals Disclosure Survey ❑ <br /> Dovolopnlonl impact MitigatioonFoo Form U Assessor and Illalory Pages <br /> Names List" N of, 4{ `l�r� p Sowor/wolar'Will Servo'Letter• I� <br /> 00110101 river Map' � Zonh+g Map' 1 <br /> sells nopart" ❑ Solis Suitability Sludy• ❑ <br /> Subsidence Arcot] Yes o Ejrpanslvo Boit Area t? 'Yes ik tde <br /> " 11+eao ninteduls may not be required for curial"applications. Chock the application type for d01e119. <br /> Tcrrintivo Mapa <br /> Map Signed by Owner ❑ Tract Number and Name(Major Subs only) 13 <br /> Adjolnhig Property Owners I4inmes on Map ❑ All Lois Numbered +f <br /> Contour Llncv 0 Location of Well and Septic Systom <br /> Derivallons <br /> noclnmellon Plan and Schedule ❑ Flnonclal Ounronloo ❑ <br /> Typical Cross•sactlens ❑ ldavailofr Calculation Sclrodul0 ❑ <br /> r.�.,.r.,��.•,atm,., <br /> 0 <br />