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APPLICATION CONTROL SHEET <br /> To be completed by Development Service staff <br /> PreApp Only: ❑Yes ❑ No Fee: Receipt Number. Date: <br /> File Number: w <br /> LA p- �Z� I j Fee: �5. Receipt Number. Dale: -Z9.9 <br /> File Number. Fee: Receipt Number. Date: <br /> File Number. Fee: Receipt Number. Date: <br /> Description of Project Q <br /> SLC! 4/'A 6Cr_ •~I \ <br /> _i <br /> Project Location_ n <br /> i <br /> Address: <br /> LO Gk t�POK�O C�4 2 L APN(s): I- I-70 - 1 <br /> General Plan Community: General Plan Designation: <br /> Zoning Map: Property Zoning: A,,-,-4o Overlay Zone(s): <br /> Adjacent U General Plan Zoning <br /> North: ( O <br /> U r <br /> South: <br /> rl • <br /> East: <br /> r r. <br /> weal: <br /> 10D.Yeer Flood ❑ Yes X No Williamson Act ❑ Yes Qt No Supervisorlal District <br /> Airport Area: f�A o_k 4;�' Specilic Plan(s) ❑ Yes 5� No: <br /> History: _/ .// - 2-102 <br /> €< . : CHECKLISTa� <br /> All Applications <br /> j <br /> Completed Application Forms Owners'Signature ]Q' <br /> Copy of Deed or Preliminary Title Report` Copies of Plan or Map <br /> 8'/,'x 11'Reduced Plan or Map Hazardous Materials Disclosure Survey ❑ <br /> Development Impact Mitigation Fee Form ❑ Assessor and History Pages <br /> Names List• ❑ Sewer/Water'Will Serve'Letter• ❑ <br /> General Plan Map• ❑ Zoning Map ❑ <br /> I � <br /> Soils Report• ❑ Soils Suitability Study• ❑ 1' <br /> Subsidence Area ❑ Yes Q(.No Expensive Soil Area a( Yes ❑ No I. <br /> • These materials may not be required for certain applications. Check the application type for details. r <br /> i <br /> Tentative Maps <br /> Map Signed by Owner Tract Number and Name(Major Subs only) ❑ <br /> -� Adjoining Property Owners Names on Map sr Ail Lob Numbered <br /> Contour Lines ❑ Location of Well and Septic System ❑ <br /> Excavations <br /> Reclamation Plan and Schedule ❑ Financial Guarantee ❑ - <br /> Typical Crose-sections ❑ Elevation Calculation Schedule ❑ <br /> Engineer's Stamp ❑ <br /> Completed By: Date: C) Z9•13)Z <br /> appcntr.rm 3-18-91 <br />