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APPLICATION CONTROL SHEET <br /> �4� Pm , xy<nI tt 1 =�IhslM�g=Iz�t ` <br /> y3'rx4Ta f s a1;{o bn n I e�b �Iyd3e mNl a v<e+ II <br /> Delo: <br /> ProApp Only: E3 Yes ❑ I'lo Foo: Nocolpl Numbor. <br /> W nacnl i Numbor. �O�Sa Dole:It �JI43 <br /> filo IJmnbor: LA, is� 55 Foo: (�•�' p <br /> Fria Iduurbar. <br /> Poo: receipt Numbor: Dole: <br /> foo: Nocolpl Number: Delo: <br /> filo Nwnbor: <br /> DeacAAdpilon of Project p �S_ DaQJJSi(V `!'•`{L��`� <br /> /�rt�//J VSr" 1-120 nncYlr (--lN � �hzl"'1 l. V <br /> � 151Nf� <br /> ('q.uGsc�$ `PlLG£L I - �,1,/tlq�N S•vU A'L 21S M/r� <br /> 'Tb LcMTk+rJ SrU.CUC.�`C7 . <br /> piojacl Lacallon: (�J t - "L-4,LT4 51 L « JAL '^� vieOP'2 3 r <br /> rc - Cr D��15 I?uMy <br /> Addrvsa: G( I SA2G--nR' -vA'ff <br /> CA aS2` -Z- ArN(.(:OZq-6Z-cr-4`I 4823 <br /> Omiaral Pint,Cmmminlly: Omlmnl Plon Designation: & <br /> Zoning M p COU-Ti, I'lopelty Zoning: /`G'r-IO Ovmiay Zono(s(: <br /> AdlOcont Oanaral Pion Zoning <br /> Nerlh: I r`^I <br /> Lto <br /> South: //^/�T IIN6 <br /> East: <br /> Wail: R U Q(r Yy <br /> Igo-Yom Flood O Yes J;Itf It* Wnmmiaon Act ❑ yes 4-1,10 Suporvlsodol District: 4 <br /> AI p I Alen! Sp III pl (( O Yes jer N <br /> Ln �iS cLe Pn 79 ros, PA t �3 I t 8 so-Q3 13s IN tmvuss) <br /> -- Illslary � <br /> �s St <br /> LI <br /> : n s $jsx <br /> ?: s ', 601.1K <br /> �//All Applications <br /> Complalad Application Fonus 0� Ownari Signature tL <br /> Copy of Dead or Prollminnry Title nepod• t]L copies of Pian or Mop <br /> o``/s'x i I'traduced Plan or Map I Iazoldous Materials Disclosure Survey 1,3 <br /> Development Impact Mitigation foo roan ❑ Assessor and History Pages yL <br /> Mamas List• ❑ Sowarfwalor Vill Servo'Lollar• ❑ <br /> t General Plan MOP• ❑ Zoning Mop• ❑ <br /> Soils report• ❑ Sells Suitability Study• ❑ <br /> Subsidenao Arca ❑ Yes No Expansive Solt Area ❑ Yes No <br /> • Tiraso rn d.dais may not be required for aminln applications. Check the appgcollon type for details. <br /> Tentative Maps <br /> Map Signed by Owner •'� Tract Number end Name(Major Subs only) v❑ <br /> Adjoining Property Ownan Names on MOP D, All Lob Numbamd <br /> Contour Llnee Location of Woll and Saplle System p� <br /> Excavations <br /> noclnnnnllon plan and Sclrodule ❑ <br /> Fkmnclnl Guarantee ❑ <br /> Typical Cross-oocllons ❑ Elovallon Cnlculnlion Schodulo ❑ <br /> Englnoel's Stamp _ ❑ . <br />