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APPLICATION CONTROL SHEET <br /> To be,completed by Development Service staff <br /> 7Numbor:,Z'A <br /> es ❑ No Fee: Receipt Number: Dale: <br /> [File -V Fee: {� ReceiptNumber: Dole• 16 <br /> File Number: Fee: Receipt Number: Dole: <br /> File Number: Fee: Receipt Number: Dole: <br /> Description of Project �L— <br /> � T <br /> ProJect Location: <br /> Address: ,/ �Q 7 ` <br /> /!Q C/f J` 37` APN(s):o24 <br /> General Plan Community: General Plan Designation: <br /> Zoning Mop: N. Property Zoning: - Overla one(s): .\ <br /> Adjacent General Plan Zoning \ <br /> North: <br /> South: <br /> i <br /> East: <br /> i� <br /> u <br /> West: <br /> 100-Year Flood ❑ Yes No Williamson Act ❑ Yes ty,No Supervisorial District: <br /> Airport Area: r,?d1 Specific Plan(s) ❑ Yes 21/No: <br /> History: ��L- 7t7 -(z, ao-a3 <br /> • „CHECKLIST • <br /> All Applications <br /> Completed Application Forms Owners'Signature <br /> Copy of Deed or Preliminary Title Report' Copies of Plan or Map Qf' <br /> a,/V x 11'Reduced Pian or Map Hazardous Materials Disclosure Survey ❑ <br /> Development Impact Mitigation Fee Form ❑ Assessor and History Pages <br /> Names List• ❑ Sewer/Waler'Will Serve'Letter' ❑ <br /> General Plan Map• ❑ Zoning Map• ❑ <br /> Solis Report• ❑ Sells Suitability Study' ❑ <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 /> Sopia ❑ All Lots Numbered <br /> Contour Lines Locetlon of Well and Septic System <br /> Agricultural Homeslte Form ❑ 1 Adjoining Property Owners Names on Map <br /> Excavations <br /> Reclamation Plan and Schedule ❑ Financial Guarantee O <br /> Typical Cross-sectlons ❑ Elevation Calculation Schedule ❑ <br /> L <br /> gineer's Stamp p <br /> mpleted By: ��� Dole: -7 <br /> appcntr.rm 3-1841 <br /> f <br />