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APPLICATION CONTROL SHEET <br /> To bo;,completed tsy <br /> .. ent snrvlce oteN <br /> ProApp Only: ❑Yos ❑ No Foe: Receipt Number: Data: <br /> Filo Number. 5 - - Foo: O� Receipt Number: 5 J Dato:2 Zj-� <br /> File Number: Foo: Receipt Number: Data: <br /> File Number: Foe: Receipt Number: Onto: <br /> Description of Project 5eC1,d U,,, Ule i 5 - —0189 <br /> G tj a -__1, 6/26 il'c r Ddu <br /> ProJoct Location: D,� f" <br /> vl �� o�Es til•, <br /> Address: (1 X)V l <br /> General Plan Community: General Pian Designation: l- - <br /> Zoning Map: Properly Zoning: 6-� Overlay Zono(s): <br /> Adjacent General Plan Zoning <br /> North: <br /> South: <br /> East: <br /> West: <br /> 100-Year Flood ❑ Yes NoZeNe� Williamson Act ❑ Yes * No Suporvisorlal District: <br /> Airport Arca: No Specific Plan(s) ❑ Yes ffi No: <br /> CHECKLIST ;' ; <br /> All Applications <br /> Completed Application Forms V Owners'Signature IR <br /> Copy of Deed or Preliminary Title Report' ❑ Copies of Plan or Map ❑ <br /> 8'/.*x 11' Roddcod Plan or Map A Hazardous Materials Disclosure Survey ❑ <br /> Development Impact Mitigation Fee Form ❑ Assessor and History Pages 1B <br /> Names List' ❑ Sower/Wator'Will Servo' Lotter ❑ <br /> General Pian Map <br /> ❑ Zoning Map ' ❑ <br /> Sells Report <br /> ❑ Soils Suitability Study' ❑ <br /> Subsidence Area ❑ Yes &No Expensive Soil Area W Yes ❑ No <br /> ' These materials may not be required for certain applications. Chock 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 ❑ <br /> Excavations <br /> Reclamation Plan and Schedule ❑ Financial Guarantee ❑ <br /> Typical Cross-sections ❑ Elevation Calculation Schedule ❑ <br /> Engineer's Stamp ❑ <br /> Completod By: f�F Date' 2 -2�` 3 <br /> appcntrl. rm 3-18-91 <br />