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FSFp241993 <br /> EN PERMIY i SERVICESL�H <br /> APPLICATION CONTROL SHEET <br /> To.ba coni• lo(ed 6 btlVela monl Stliv)ce �ta(f <br /> - - - Filo Number: SA_g3- q4 I Foo: 35o Flacoipt Number: 957? I Date:J/I7/q3 <br /> Dosccrripuon of Pro)act Mo3i( E ffa►Ae rI S S`Corjb oAj lT ,l W-CUVor <br /> Pto)act Locnllon: <br /> Addfe� 5155 F— ASNLE.y LAnIE <br /> ST00<TO CA 162-12 APN(s):10 UG-D?D-20 <br /> Oenorol f Imi Community: M Qj{N�A General Plan Designnllon; �G <br /> Zoning Nino: 5-t0C.KruVA NE- Property Zoning: Cvariny Zona(s): <br /> 100•Yonr Flood ❑ Ycs ❑ No I 'N1litnm:on Act ❑ Yos U-NO [ Suparvisorinl Oistrlct: 4-- <br /> Airport Wren: I Specific[Inn(-,) C1Yes <br /> I listory: <br /> a(E�xt_1sT" <br /> m::•iv::h•:� Wf :2:h2 <br /> All Applications <br /> Compfnied Aopilcatlon Forms 9---" Owners' Signature O� <br /> Copy a( Decd or Prollminnry Title flcport ' ❑ Copies of Plan or Map ❑ <br /> 91/;x 11*floducod Pinn or Mnp ❑ 1lazardous Matoriafs Disclosure Survey ❑ <br /> 0oveiopment impact Mitigation Foo Farm ❑ Assessor and History Pages ❑ <br /> Nnmos Ust ' ❑ SowerlWator-NM Servo'Lollar ' ❑ <br /> Gancrai Plnn Map • ❑ Zoning Mop • Q <br /> Solis floport 1 ❑ Soils Su(tabiDf Siudy ❑ <br /> Subsldence Area ❑ Yes ❑ No Expansive Sall Aroe est ❑ No <br /> ' Tlreso mnlerinis may not be required(( for certain applications. Chock the appllcation type for data-1. <br /> Compiotod Gy: JIM V r'N 3ul-9 6i Oafs•_ �1 3 <br /> npperur.nn 9 <br />