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APPLICATION CONTROL SHEET
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<br /> PreApp:❑Ya❑Na roe Receipt Number: Data
<br /> rile Number. 1-4- Q`f-23 rce 41 2- Receipt Number: �2 fJ T l Date: '3(Zs(Y I
<br /> rt7e Number. ree Receipt Number: Data
<br /> r--dc Number: Fee Receipt Number. Data
<br /> Project Description: Lx>- /LS FcOJ;S rr�l 7 7C P t�Orta u J is rzFCoNivT cx.
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<br /> Project Location: (i1.� ^j'1as ` �tie Li= j6.,L u-o (��Ol N urr C',-t C.
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<br /> Loot C.>� Gt`524o APN(s) Gcl_dly- 1�, 12 11
<br /> Enterprise Zone: ❑Yea eJo General Plan Designation:
<br /> Property Zoning: A,6--�{6 Zoning Map: Loot General Plan Community.
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<br /> 100-Year Flood❑Ya e Willi
<br /> ONO Zone ❑
<br /> Williamson A Yes o❑
<br /> ❑No Prime Soil❑Ym❑NNA
<br /> Airport Area:❑YakNo Specific P12n(s)❑Yo Supervisorial
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<br /> Name: Road Names District:
<br /> History.
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<br /> �.;�.♦� a ♦��.,.�_ x,♦,,,. t�Z. r�� CFiEt�tl. ALLAPPI:ICATIONS ♦ ,:�.,�>vktxc a:..::x<. � fi�K r°d" .°its
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<br /> Completed Applications Forms {F Owner or Agent Signature
<br /> Copy of Deed or Preliminary Title Report' Hazardous Materials Disclosure ❑
<br /> 8 1/Z'x 11'Reduced Plan or Map 9L Copia of Plan or Map
<br /> Soils Suitability Study' ❑ Assessor and History Pages
<br /> General Plan Map'/Zoning Map' ❑ Soils Report' ❑
<br /> Subsidence Arra❑Yo�YL Expansive Soil ❑ c:r�o
<br /> a tezicdxaCcx�gia'� s>4♦ 3'fix<C A x +^* Mix ..
<br /> •� a .�s... E A CHECKTHI AYPlrTCATION IYEEFo�t IrrAttS P ICnrIRNs�
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<br /> MAPS
<br /> Map Signed By Owner 0 Tract Number and Name(Major Subdivisions Onty)❑
<br /> Adjoining Property Owners Names oo Map Ali Lou Numbered
<br /> Contour lines O Location Well Septic
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<br /> Reclamation Plan and Schedule ❑ Financial Guarantee ❑
<br /> 7pieal Crass-Sections ❑ Elevation Calculations ❑
<br /> Engineer's Stamp ❑ M.R.Z❑Ya❑No
<br /> Completed By. c,^M ( L,l �,t� Date: 3 •�(9`{
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