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APPLICATION CONTROL SHEET <br /> To be completed by Development Service staff <br /> PreApp Only: [Dyes ❑ No Fee, Receipt Number: I Date: <br /> File Number: eM 5-C - I Fee: , Receipt Number: <br /> co' Date: <br /> File Number: Fee: Receipt Number: I Dale: <br /> File Number: Fee: Receipt Number: Dete: <br /> Description of Project ?yt - <br /> Cx ct• e2 az-.-r— c a'a e(, r ,-,kv4 2c,- e,&- - <br /> r 2 n•lo 3 Tb Co-mA,rJ -Z-.O PZnr n,,,,p J� - 4 <br /> .Co QCrr�£S <br /> Protect Location: 16-(( 11-r �< <br /> Address: <br /> q APN(s): 2 to e-- <br /> General Plan Community: General Plan Desronation: !'CwI�TL <br /> Zonino Map: L Proocrty,2oning; 7� Ovcrioy Zone(s): <br /> Adjacent I General Pian Zoning <br /> Nor): t}.I'� f AL - S <br /> South: II A <br /> East: II /I <br /> West: / <br /> 100-Year Flood ❑ Yes l�N. I Williamson Act ❑ Yes110 I SUperv15or18i Drclnc:: <br /> Airport Area: Z � I Specific Plans) ❑ Yes g'Nc: <br /> History: <br /> CHECKLIST <br /> All Applications <br /> Completed Application Forms dGwners'Sipnatwe <br /> Copy of Deec or Preliminary Titio Repos' e Copies of Plan or Map G/ <br /> 8`G-'x 11'Reouced Plan or Map L'/ I Ho:ardour Moteriols Drsclo—e Survey ❑ <br /> Development Impact Miligation Fee Form ❑ I Assessor and History Pones <br /> Names by G Sewer/Water'Will Serve'Loner' ❑ <br /> General Pian Map' G I Zoning Map _- <br /> Soils Re Dor G I Soils Suitability Stucy ❑ <br /> Tnese materials mev not be reouired tot cenain apokcations. Check the application rype for details. <br /> Tentative Ma Ds <br /> Map Sinned by Owner 2�- I Tract Number end Nome(Idaior Subs only) ❑ <br /> Sepia I All Lois Numbered <br /> Contour Llnes Location of Well and Septic System Lam' <br /> Agricultural Homesite Form ❑ Adjoining Property Owners Names on Mop - <br /> Excavations <br /> Reclamation Plan and Schedule G Financial Guarantee G <br /> Typical Cross-sections G Elevation Calculation Schedule ❑ <br /> Enpineer's Stemp II I G <br /> Completed 6y: W ) l .I(,r AJC Dew <br /> eppentrl.lrm e- a-rt J <br />