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APPLICATION CONTROL SHEET <br /> To be^.w np:eted by Development Sm Ott staff <br /> PreApp Only: ❑Yet ❑ No Fee: Receipt Numbor: Dale: <br /> Fila Numbor: Fee: Receipt Number: cet-7. 9-22 <br /> File Numbor: Feel: Receipt Number: Dale: <br /> File NumWr. Fee: Rec.ipl Numbor. Oat.: <br /> Daanlpdon of Proled <br /> 9 <br /> Project Location. A) / 5/157- <br /> 1{(leT <br /> /uejiT7+ Cjl� rH%r CALhI�AS LSN�YL. ,UdVt TNvc2lsr <br /> Address: /0 � 01 1 C ^ <br /> APN(s):0 <br /> Oanaml Plan tCommunity: General Plan peelgnell.n: C <br /> Zoning M.p:In J,,,,;, Pr.p.q Zoning: Overlay Zone(,): <br /> Ad)...N General Plan Zoning <br /> Nosh: n Sl r D <br /> South: - fp <br /> East: f h 4 <br /> Wast 4 /iF/✓G /r N —`r!/ <br /> IOGY.0 Flood 8 Yea ❑ o Wllliema.n Acl Y. ❑ No Supervisorlol DlNricl: <br /> Alport Are.: O Sp..lle Plena) ❑ Yea TF No: <br /> Hl.lory: <br /> All Application. <br /> Completed Appll.etlon Forms pr Owneri Slgnalur. lyc <br /> Capt'of Dead or Prollminary Tip.Raped• P, Coploa d Plan ar Mep Q <br /> 8Y:s t 1'Reduced plan w Map pi, H..arduue Matadala Oisclown Survey ❑ <br /> 0evelopmeel Impact Mitigation Fee Form ❑� A....a.,and History Fall. <br /> l <br /> Name.Llel• 8 S..,,Watar Will Serve'Letl.r• ❑ <br /> General Pian Map• ❑ Zoning Map• ❑ <br /> Soil.Report• G Salle Sutioblllty Study• ❑ <br /> Thess maledels may not be required lot certain applloNbm. Check the application lyp.lot details. <br /> T.M.11ve Map. <br /> Map Signed by Owner R' Trec1 Number and Name(Melo,Sub.only) ❑ <br /> 5ap1e ❑ All Let.Numb.ted a <br /> Comteur Linea Location of Well and Sapdc System <br /> Agricultural Hematite Form prA4.1.1.9 Properly Owners Nam..on Map jr <br /> Eeeayalbne <br /> R.elemmion Plan and Schedule ❑ Flrw:lel Guarantee ❑ <br /> Typical Cross....tion. ❑ Elevation C.Imtedon SeMdel. ❑ <br /> Engineers St.mp ❑ <br /> Completed By: Dote: 7- 9- 9Z <br /> appcnn.rm <br />