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APPLICATION CONTROL SHEET <br /> PreApp:0Yes CHO Fee Reccipt Number. Date <br /> Me N®ber y_ Fac (�2 1-0 Rotapt Number Date Z —3 —4'1 <br /> Me Number. Fee Receipt Number. Date <br /> File Number Fac Roc ipt Number Date <br /> Project Descriptbm <br /> Pmjat CoradomAM L S <br /> 0 <br /> Address: U i <br /> C,30 _ <br /> Enterprise Zone ❑Yes!fo General Plan Designation: d <br /> Property Zoning: V Zoning Map: General Plan Community, rT <br /> Noah: YO <br /> South: <br /> Fist <br /> West <br /> 100-Year Flood❑Yes o Zonc Williamson Act�SCn ONo Prime Soil H❑Yresr❑No DNA <br /> Airport Arra: Y. o Specific Plan(s)❑Yo Supervisorial _ <br /> Name: Road Name: <br /> District: 5 <br /> History. <br /> Completed Applications Fortin Y Owner or Agent Signature B' <br /> Copy of Dead or Preliminary Title Report• dY Hazardous Materials Disdosure ❑ <br /> 8 1/r 111'Reduced Plan or Map 19— Copies of Plan or Map U- <br /> Soils Suitability Study Cl Assessor and History Pages ❑ <br /> General Plan Map*/Zoning Map- ❑ Soils Report' ❑ <br /> Subsidence Area Oyes cIN'o Expansive SoB ❑Yes❑No <br /> a <br /> • � ,� bY x »,`°` H-.>,'<¢ <br /> MMA t��Xr,Nn'^,i <� n yet s <br /> :J�.!�: w�.:.' ..,.,es� �iwai.��.. ,3. :'ahxwaC'zz'Sui�, ..��"Skim, 9 <br /> Map Signed By Owner ❑ 'stars Number and Name(Major Subdivisions Only)❑ <br /> Adjoining Propeny Owner*Names on Map ❑ All lots Numbered <br /> 13Contour Unca ❑ 1.oa11011 Well R Septicgvq <br /> ❑ <br /> t '°nSo-�'� `•.' hY'.:��Y'h ��?xn.accg,�tlAialar�w�ayn,e ti�m 'F„�' icy'„ :"= 3 ' ` sr <br /> >"„F'�3tA�,u .�.,:+ F �,.saz�„°Stad r .. �".�'�� t+�;;::„y�J�`,b�I•�"�n ` .�*.M'�"..-: F s».c% .' .�a+ s� <br /> Reclamation Plan and Schedule O Financial Guarantee ❑ <br /> Typical Cross-Sections O Elevation Calculations ❑ <br /> ngineces Stamp O M.R.Z❑Ya oNo <br /> Completed By. <br /> E . <br /> Dater Z>_� <br />