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j <br /> APPLICATION CONTROL SHEET <br /> To bo completed 6y boveloprnonl Sorvlce stolf <br /> Racal t Number: Dote: <br /> Pro/1pp Only: C1 Y05 [I No foo: recall <br /> at <br /> Number: L/1 -`7-13 —3( Foo: <br /> (gyp i Receipt Number: e 23 Z Data: 74-or3 <br /> Filo Number: <br /> Foe: Rocolpl Number: Dole: <br /> Foo: Rocolpl Number: Data: <br /> Filo Number: // <br /> Description of Project L04 � r�r A �rI] t ±,2 /N C t,,e— <br /> ��Y <br /> I l rn e a.'1 c' t' <br /> Project Location 1')o,-f1-. g/c(� d T /71 krrn cc 2 / (3oo <br /> ues > o� �u k � r n / <br /> Address: 30' 7 131,51 F Klivsr'>� <br /> Ute:-i-2-70-0(o <br /> General Plan Community: General Plan Designation: L <br /> Zoning Mop: <br /> Property Zoning: L—S Overlay Zone(s): <br /> Adjacent <br /> General Plan Zoning <br /> North: <br /> South: <br /> East: ` h <br /> West <br /> 100-Year Flood ❑ yes ❑AN/O Williamson Act ❑ Yes LI'NO Supervisorial District: <br /> Airport Area: Specific Plan(s) ❑ Yes ❑ No: <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 Mop <br /> BY'x I t'Reduced Plan or Mop Hazardous Materiels Disclosure Survey ❑— / <br /> Development Impact Mitigation Foo Form ❑ <br /> Assessor and History Pages L� <br /> Names List• ❑ Sewer/Water'W it Servo'Letter• ❑ <br /> General Plan Map• <br /> ❑ Zoning Mop' ❑ <br /> Sells Report <br /> ❑ Soils Suitability Study' ❑ <br /> ❑ Yes No Expansive Soll Area Yes ❑ No <br /> Subsidence Area <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 ❑ <br /> All Lots Numbered ❑ <br /> Contour Lines ❑ Location of Well and Septic System ❑ <br /> Excavations <br /> Reclamation Plan and Schedule <br /> ❑ Financial Guarantee ❑ r ^r <br /> Typical Cross-sections <br /> p Elevation Calculation Schedule ❑ <br /> Engineer's Stamp ❑ <br /> s< <br /> Date: —cj <br /> CompIolod By: <br /> -- — T'millillil <br />