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APPLICATION CONTROL SHEET <br /> To be completed 6y DoSelopminl§erv(ce stop <br /> PreApp Only: ❑Yes ❑ No Fee: Receipt Number: Dale: <br /> FFllo Number: t4S ZO I Foe. j(3Q, v`-' Receipt Number: 2,0 of o� Dale: ?)-Z-1.j <br /> Filo Number: Fee: Receipt Number: Dole: <br /> File Number: Fee: Receipt Number: Dale: <br /> Description of Project M SO t3 FI j I S t o t_1 c-, o.S --o <br /> nk C-rr-z A,IZc St, f i-1 99 A-c z <br /> P. Y'-C-E <br /> ProJecl Location: or,S, µt✓ ote <br /> ff{ SIDE O <br /> Address: L_� � <br /> ��1 �S Z-I O APN(s): 069!0 ,-ZIO' I <br /> General Plan Community: <br /> General Plan Designation: <br /> Zoning Mop:bf4E1</a1ZCA MArZ Property Zoning: AC S Overiny Zone(s): <br /> Adjacent General Plan Zoning <br /> �tenr-r�T) <br /> North: ALs fzt c,Li,L A l - � <br /> South: <br /> East: <br /> West: <br /> 100-Year Flood C1Yes 2(/No Williamson Act ❑ Yes JL No Supervisorfnl District: 4' <br /> Airport Area: �da rIE I Specllic Plants) ❑ Yes q No! <br /> History: <br /> CHECKLIST <br /> All Applications <br /> Completed Application Forms ja Owners'Signature <br /> Copy of Deed or Preliminary Title Report' Copies of Plan or Map f� <br /> 914'x 11'Reduced Plan or Map Hazardous Materials Disclosure Survey ❑ <br /> Development Impact Miligallon Fee Fovn ❑ Assessor and History Pages <br /> Names List' ❑ Sewer/Wale,'Will Serve'Lotter' ❑ <br /> General Plan Map' ❑ Zoning Map• ❑ <br /> Solis Report• ❑ Solis Suitability Study' ❑ <br /> These materials may not be required for certain applications. Check the application type for details. <br /> Tentative Maps <br /> Map Signed by Owner ❑ Tract Number and Name(Major Subs only) ❑ <br /> Sopie ❑ All Lots Numbered <br /> Contour Lines f ❑ Location of Well and Septic System <br /> Agricultural Homesile Form ❑ Adjoining Property Owners Names on Map /A <br /> Excavations <br /> Reclamation Plan and Schedule ❑ Financial Guarantee ❑ <br /> Typical Cross-sections ❑ Elevation Calculation Schedule ❑ <br /> Engineer'a Slump ❑ <br /> Completed8y: CSA I G I Pt- UE�L. Dole: 7- <br /> appcntr.rm - <br />