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APPLICATION CONTROL SHEET <br /> at <br /> .......... <br /> PrcApp:DYCZ CLKO FCC Receipt Number Data <br /> Mile Numb.- L roc y(,-L.O Receipt Number-. 22 Data 2 —2.3 -9'( <br /> File Number. Fee: Receipt Number. Data- <br /> FUc Number rc= Roccipt Number. Data <br /> Project Description: u5.1.-r--1 4" n r i a-7t--.le- <br /> 61 <br /> Project Location. t, e V rz d0 e4 <br /> <16, <br /> Address: CO �z <br /> IFAPN(.) <br /> Enterprise Zone: 13Ycs21-11., General Plan Designation: <br /> Property Zoning: Zoning Map: General Plan Community: <br /> Xa <br /> 'U <br /> m <br /> ......... ... <br /> North- A 6- t(O <br /> South: L <br /> East: A L <br /> West: L 4 <br /> 100-Y.,Flood OY.PIC. Zone: Williamson Act 0YczzKo Prime Soil OY=cNo EINA <br /> Airport Area.13Ycs nNo Specific Plan(s)GYcz 12No Supervisorial <br /> Name: Road Name; District <br /> Historr. C c 6 C-C -C[Z-zo <br /> g. <br /> 4 <br /> ,mm <br /> Completed Applications Forms .12r, Owner or Agent Signature <br /> Copy of Deed or Preliminary Title Report* 13 Hazardous Materials Disclosure 0 <br /> 8 12"x 11"Reduced Plan or Map Copies of Plan or Map 0-11 <br /> Soils Suitability Study* 0 Assessor and History Pages al <br /> General Plan Map'/Zoning Map' ❑ Soils Rpw' 0 <br /> Subsidence Area aYcs 0No Expansive Soil C3Ycs ClNo <br /> MI <br /> . WO <br /> Map Signed By Owner ❑ Tract Number and Name(Major Subdivisions Cnly)E3 <br /> Adjoining Property Owners Names on Map O All Lots Numbered 0 <br /> Contour Unm Location Well&Septic ❑ <br /> IReclamation Plan and Schedule a Financial Guarantee ❑ <br /> Typical Cross-Sections 13 Elevation Calculations ❑ <br /> Engineer's Stamp 0 M.R.Z.oYcs cNo <br /> Completed Dr. A Dalc: <br /> ntzol-kit <br />