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APS LI CATION CONTROL SHEET <br /> To be completed by Development Service staff <br /> PreApp Only: ❑Yes 0 No Fee: Receipt Number: Date: <br /> fee: �- receipt Number: -��.E: Date: -2}1 <br /> Filo Number: M —q [•— ('�a. P 2 <br /> File Number: e(>— Fee: Z.S er Receipt Number: LC 2-3L Date: <br /> File Number: Fee: L3 to - Receipt Number: Date: <br /> Description of Project i g,vc Iq 110- r ME <br /> pq R CFz! IrU TO ? P�+ cr- u A-r-cfi <br /> PACRC-F.f 1 ^ /7 C(cf S= ( Prrnrs/ 2 _ `/ 97 <br /> Project Location: L, _5A/l// r r vL,5=r A,,y L'1 L'I F K/ ST <br /> Address: 2 U C, S A N(;-u I svt9.T1 I A-ity STp:{eTo:t� <br /> APN(s): Oji OU_t�l <br /> General Plan Community: $]U_(CTUr✓ General Plnn Designation:t_lmim-y I 4(..17asrxfNL <br /> Zoning Map' H (p Property Zoning: yy) ( Overlay Zone(s): <br /> Adjacent General Plan I Zoning <br /> Nor,. I L1 Na 17-Nth 1rydW5T77t1+ <br /> South: jiv yvl _ <br /> East: LOLv f •.!7`( [G3SlNr:.n-Ytrk-L I -2 <br /> Wes:: I D Ar Q3 S:10I SI-�t <br /> 700.Year Flood ❑ Yes No Williamson Ac; ❑ Yes *No Supervisorial Detract: <br /> Airport Area: I Specific Plan(s) ❑ Yes Y.No: <br /> History: 41)--11, 0 ni 57-S P rr1 6.2-7 D1 - -rs- 44--7Z YS v <br /> CHECKLIST <br /> All Applications <br /> Completed Application Forms ❑// I Cwners'Signature D� <br /> Copy of Deed or Proi nary Title Report• 1 Copies of Plan or Map ❑ <br /> 81W z 71'Reduced Plan or Mag ;Y-2'/ I Hazardous Maierials Disclosure Survey D <br /> Develoorneni Impact Mitioation Foe Form D Assessor and History Pages ❑ <br /> Names Lis`' D I Sewer/Water-Will Serve'Loner• a,-- <br /> General Plan Map' ❑ Zoning Map D <br /> Soils Report' ❑ Soils Suitability Study' ❑ <br /> ' These materials may not be required for certain applications Check the application type for details. <br /> Tenlafrvc!baps <br /> !dap Signed by Owner ❑ I Tract Number and Name(Major Subs only) ❑ , <br /> Sepia 8— All Lots Numbered <br /> Contour Lines rV r.dy M___ Location of Well and Septic System D <br /> Agricultural Homesite Form ❑ Adjoining Property Owners Names on Map <br /> Excavations <br /> Reclamation Plan and Schedule ❑ Financial Guarantee D <br /> Typical Cross-sections D Elevation Calculation Schodule ❑ <br /> Engineer's Stamp O <br /> Completed By: s-�- S[.c t.� Date: — —� <br /> appcnm.rm j-16-vi <br />