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• a 1 APPLICATION CONTROL SHEET ' '•"i .^To,bn eamplcicd by paveldpinenl S.rvlce stall ProApp Only: ❑Yee No Fee; Receipt Number: Dole: Filo Number: R 9 2.. 6 Fee; <D Receipt Number: Z2 Dale: Fila Numbar: F 6 G— Fee: 2 S Receipt Number: Oslo: I'll.Number: To I KL Foe: ' �)S Receipt Number. Delo: Description of Project /.� I/f}R,r TO fle-7- c! /Z�yr P/a2c-6 517e' F-W ti 40 4r47,e-' 7v 30 4ratfz Project Location: 11, / Address: q Q General Plan Community: General Plan Dosignall Zoning Map: D Properly Zoning; -'/0 O : Adjacent General Plan =ZonlngNorth: South: East: n West: - TMYoar Flood ❑ Yea R[No Williamson Acl Yoe 6t No Suporvlsorlol Olshiel: Airport Area: ----- Specific Plants) ❑ Yes No: Instory: S'r�1�-Z�j,jcw/3-9r /*NL 73-z ICHPCKbST# x*,,. } nr ' { ? °`'•�. s� All Applications Completed Application Forms Ownm.'Signet.,. B� i Copy of Dead or Preliminary Till*Report• $—/ Coplos of Plan or Map 9'/,'x I l'Reduced Plan or Map p' Hazmdous Material.Dlaciosure Survey ❑ Development Impact Mitigation Fee Form ❑ Assessor and History Pages $ Names Usl• ,♦� S--'/W-1-1 Wit Servo'Lefler' ❑ General Plan Mop• ❑ Zoning Mop Soils Report• ❑ Sells Sullablllly Study• ❑ ' Those materiels may not be required for certain applications. Check the application type for details. Tentative Map. Map Signed by Ovenor ❑ Tract Number and Name(Major Subs only) ❑ Sopla ❑ An Lots Numbered ❑ Contour Linos AT, Location of Wen and Sepik System ❑ Agricultural Flomeslle Form ❑ Adjoining Property Ownen Nom..on Map ❑ Excavations Reclamation Plan and Schedule ❑ Flnenclat Guarantee ❑ Typical Cro—secllons O Elevation Calculation Schedule Engineers Stomp ❑ Completed By: Delo: !!571/f, S� eppcnlr.rm r,r T �r T;