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APPLICATION CONTROL SHEET <br /> T o ion tp,up1siod L�bave)npnienl3`a Mal - <br /> oAp - _ receiptNumber: Delo: <br /> ProApp Only: ❑Yos ❑ No Foe: <br /> Fee: <br /> �' tNumbol: QI-Z f Dale: Fill yI4 <br /> Filo Number: SA,.g3, 3� ('LOS i necoi v <br /> roe Number: Foe: neeoipl Number. Dote: <br /> File Number: Feo: nocolpt Number Delo: <br /> Description f Project /k S tj_4�: 6 PP2wk . A!'fu C.A'71 U.J Ta ?ftq+lu SH <br /> 'l1 K� t^P S tiv P ee n Dew sr S+tu- <br /> r ) IL g Dal 71A-,1_ NdKwst C sax Cc js�L gYLt kwvtJ£ <br /> 4.NJ WMA-'-� rlwn NuvLl-�.srttr f'i�su«•1 <br /> Addrose: ? �✓ 'T�'n-wo ✓Lcr� <br /> 4TTsr -nJN 1 CA Ar(,): I l4- I'-lo- �{ I <br /> General Plan community: �STl3 ULTJIJ Gonoml Plan Designation: C�G <br /> Zoning Map N '1,Uw''10••1 rtopcoy Zo I g' G"U Ovedny Zoro(s): <br /> Adlncont Genonl Plan zoning <br /> sn <br /> North R.�L <br /> South: G�lr G-G <br /> Enat: <br /> GIG <br /> Weal: <br /> 100-YaFlood Yes No IWIIII A t ❑ Yos No' <br /> 1Supervsodvl Distrct: <br /> AI p 1 N tlUSp III rl () ❑ Yes <br /> Igt 'Y SA 67- <br /> am JL <br /> )� Cw) 2 19 9 e g4 2 /@ anotis� Zc s <br /> CI I�CI(LIStNO <br /> °' <br /> All Application• <br /> Completed Application Fomu `CJJ� Owners'Slgnoimv11 <br /> Copy of Doed or ruribnlnnry Title report' P Copies o1 Pan or Map P� <br /> 0%'x It*nodncod Pion or Map - I Inmardous Mnlodnb Dleclesuro Survey ❑ <br /> Development Impact Mitigation Poe Fonn ❑ Assessor and Nlalory Pogo$ <br /> IJ mos List' SawvUWaler YVlll Servo'Latter• ❑ <br /> Gvneml Pion Map' <br /> p Zoning Mop• ❑ <br /> Solis report• <br /> ❑ Solis Suitability Study• ❑ <br /> Subsidence Arca ❑ Yea No Expnnstva Soll Area Yes ❑ No <br /> • llmso amlotaia may not be required for mdnln oppllcallons. Chock Iho nppllconon typo far details. <br /> Tmnnlive M-Ps <br /> MOP Signed by Owner ❑ Tat 13ct Number end Name(Major Subs only) l <br /> AJ)abdng Property owners Wares on MOP O <br /> All Lets Numbered ❑ <br /> Corrloer Lincs ❑ Location of Well and Sapllc System ❑ <br /> Excavations <br /> naeinmallon Pion and Sehndulo ❑ <br /> Financlal Guarantee ❑ <br /> Typical Cross seellans ❑ Elevallon Caleulollon Sclroduly ❑ <br /> Engineer's Sinnrp 0 _— <br />