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APPLICATION CONTROL SHEET <br /> / >To bn eomplated by bavolopmeril sarvice staff A <br /> PreApp Only: ❑Yes Q No Fee: Receipt Number: Dole: <br /> FFllo Number: _ a { Fee: Receipt Number: Date: Z <br /> File Number: Fee: Receipt Number. Dale: <br /> File Number: Fee: Rocelpl Number: Dole:` <br /> Description of Project <br /> i <br /> Project Location: <br /> r z0 <br /> Lee- <br /> Address: <br /> General Plan Community: General Pion Deslgnatlon: <br /> Ca <br /> Zoning Mop: Property Zoning: Overlay Zone(s): <br /> Adjacent General Plan Zoning <br /> North: <br /> South: <br /> East: <br /> West: J <br /> 100-Year Flood C1 Yes •Id No TSPI-cific <br /> mson Act ❑ Yes No Supervisorial District: <br /> Airport Area: CPian(s) ❑ Yes No: <br /> History! L' - - P/--2S--5-Q, -F �j1_1(-j7 <br /> CHECKLIST; <br /> All Applications <br /> Completed Application Forms Owners'Signature ❑ <br /> Copy of Dead or Preliminary Title Report• ❑ Copies of Plan or Map ❑ <br /> 8%'x i V Reduced Plan or Mop ❑ Hazardous Materials Disclosure Survey ❑ <br /> Development Impact Mitigation Fee Form ❑ Assessor and History Pages ❑ <br /> Names List• ❑ Sewer/Weler'Will Servo'Letter' ❑ <br /> General Plan Map• ❑ Zoning Mop• ❑ <br /> Soils Report• O Soils Suitability Study' ❑ <br /> • Those materials may not be required for certain applications. Chock the application type for details. <br /> Tentative Maps <br /> Map Signed by Owner ❑ Traci Number and Name(Major Subs only) ❑ <br /> Sept. ❑ All Lots Numbered ❑ <br /> Contour Linos ❑ Location of Well and Septic System ❑ <br /> Agricultural Homesile Form ❑ Adjoining Property Owners Names on Map O <br /> Excavations <br /> Reclamation Plan and Schedule ❑ Financial Guarantee ❑ <br /> Typical Cross-sectlons ❑ Elevation Calculation Schedule ❑ <br /> Engineer's Stamp ❑ <br /> Completed By: Dale: <br /> appcntr.rm3-16-91 <br />