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Mr tti <br /> APPLICATION CONTROL SHEET <br /> To be completed by Development Service staff <br /> [File <br /> pp Only: ❑Yes ❑ No Fee: Receipt Number. Date: <br /> Uo <br /> Number: LA-C( 2jZ Fee: Receipt Number: f Date: f� <br /> Number: Fee: Receipt Number: Dale: <br /> Number: Fee: Receipt Number: Date: <br /> cription of Project q— s ���SM��fV(' ��IST�tv/�✓�G -Ta ----TA r J <br /> -7.Co I iL£3 <br /> Project Location: 0nl ^�t� �L��tc LL �i� �7Yrt� JJR bS <br /> C t-Jo.- o o Cc.W 9 AAJO KJJrr_Tl+,- T GP <br /> Address: 4--73 Z N• -Prn/� �^D <br /> APN(s): t)Cr- ZZU• 01, <br /> General Plan Community: General Plan Designation: <br /> Zoning Map: IJotiT*+I�-;ASr ty Zoning: AOverlay Zone(s): <br /> Adjacent General Plan Zoning a <br /> North: C ` <br /> South: tl I r <br /> East: 11 l <br /> West: // II <br /> 100-Year Flood ❑ Yes tlN. Wiliiamson Act ❑ Yes No Supervisorial District: <br /> Airport Area: Specific Pian(s) ❑ Yes 'UNo: <br /> History: <br /> CHECKLIST <br /> All Applications <br /> Completed Application Forms Owners'Signature <br /> Copy of Deed or Preliminary Title Report' Copies of Plan or Map <br /> 8'/i x 11'Reduced Plan or Map ';5/- Hazardous Materials Disclosure Survey ❑ <br /> Development Impact Mitigation Fee Form ❑ Assessor and History Pages <br /> Names List' ❑ Sewer/Water'Hill Serve'Letter• ❑ <br /> General Plan Map• ❑ Zoning Map• ❑ <br /> Soils Report• ❑ Soils Suitability Study' ❑ <br /> Subsidence Area ❑ Yes No Expansive Soil Area A Yes ❑ No <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 /> Adjoining Property Owners Names on Map All Lots Numbered <br /> Contour Lines ❑ Location of Well and Septic System Sr/ <br /> Excavations <br /> Reclamation Plan and Schedule ❑ Financial Guarantee ❑ <br /> Typical Cross-sections ❑ Elevation Calculation Schedule ❑ <br /> Engineer's Stamper ❑ <br /> Completed By: VA 1� L/k �L Date: <br />