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APPLICATION CO!"TROL SHEET <br /> a � s _ <br /> �0 4 iix <br /> �To bitl t,pleicd ray pabcicPlnelli srrv�ce holt <br /> ProApp Only: ❑Yes ❑ No foe: Receipt Number: Delo. <br /> Filo Number: /19a.92 -/ �f F"eeIff /30� Receipt Number: 2 o 3 o Dote: z <br /> J 4 9z <br /> FIIoNumber: vc�. �' e <br /> -so: Receipt Number: Dale: <br /> rFIleumber: Fee: Receipt Number: <br /> Dole: <br /> rlpllon of Projacl lyrNo,z �v„�,v•�,nN /ro?"�L—La <br /> A. P,F-/L C G c.- Cat✓r.Lr Ida iL.c rZu s <br /> 4453 l.:N pQ� Tµ6 2.Q/O <br /> Projocl Location: o ff r. w ca s,A L o <br /> 00 <br /> FLE- '91 Q rL R— i.-J ,V 0 12_77. OF // <br /> Address: 2 3 494S N- p w'-�=5 p - <br /> /�J.'3 <br /> APN(s) 907 O60 29 <br /> General Plan Community: '— General Plan Doslgnailon: 4-IL- <br /> Zoning Map: Loci_ ,, Property Zoning: 4-L-S Overlay Zone(s): '— <br /> Adjacent Gsnmel Plan <br /> Zoning <br /> North: <br /> _ •4-�-5 <br /> Soulh: <br /> East: <br /> West: <br /> 100-Yeor Flood ❑ Yes �No V/liliamson Act ❑ YosNo p <br /> _ � Supervisorial Dlelrlcl• <br /> Airport Arco: Specific Plangs) ❑ Yes W' <br /> No: <br /> History: C-7Q <J_2 26 Dmc. - 68 -/5¢ <br /> mE"�,•.a`s d <br /> REM" ': x _ � :�CHECICL�ST�a�`z -, "t" 3et".�3' �u��;��^f�R'�E� <br /> ..•zo. ..:. •'t• g#' T' <br /> e�'# �8,��y AME <br /> All Applications <br /> Completed Application Forms _ Owners'Signature <br /> Copy of� Preliminary Title Report' _ Copies of Meir a Map <br /> 8K'x 11•Reduced Plan or Mop __ Hazardous Materiels Disclosure Survoy ❑ <br /> Development Impact Mitigation Foe Form ❑ Assessor end History Pages <br /> Names List <br /> SowegWnler Will Sorve•Lefler' ❑ <br /> General Pion Mop ❑ Zoning Map <br /> -- ❑ <br /> Soils Report• _ ❑ Solis Suitability Study <br /> Those materials may not be required for certain applications. Check Ilia application type for details. <br /> Tentative Maps <br /> Mop Signed by Owner — ❑ Traci Number and Name(Major Subs only) ❑ <br /> Sopla _ ❑ All Lois Numbered <br /> Contour Lines 112( Location of Well and Septic System <br /> -- cTili7�tliome►N�-Fcr`n-- ❑ Adjoining Property Owners Names on Mop <br /> Excavations <br /> Reclamation Plan and Schedule ❑ Financial Guarantee <br /> Typical Cross-secllons ❑ Elevallon Calculation Schedule <br /> LCompEnglnoor's Stamp ❑faled By: <br /> Dale: Jf-28-9z <br /> appcnlr.rm <br /> j <br />