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APPLICATION CONTROL SHEET <br /> :::;v:�:.:?.::i{'>::;'tF>�w�J:J:M•:Y:lC'i..:i.:::::::........:........:i:.::;:�._:r..i:?::..;::1.:.:: ..::ice:::.;�.�::i::!.: •:}i:4: <br /> 3\^Y^ <br /> To:ba corit(ilolet�by l........ ifnf� sx > <br /> Filo Number: _ c�_Zv Foo: 3 5? °= Flancolpt Number: Dale:3 -4 <br /> Doscrl/plion of Proloc`t, 's e C H 0 w� � F/�✓c l!t <br /> Ald D N 4 4, f•F-o P"Y, <br /> Pro)ncl Locnllon: (�(��5 s'icle O C <br /> Address: <br /> nPN(s): Zd—z <br /> Gcneroi r Inn Community: Genornl Plan Designnlion: •(-- <br /> Zoning Mnp: Property Zoning: G —y 0 Ovoriny Zono(s): <br /> 100-Ynnr flood ❑ Yes ❑ No Wllllnmcon Act ❑ Yos t No 1 Suporvlsorinl District: S� <br /> Airport Aren: Specific Plnn(s) ❑ Yes ❑ No: <br /> I Ilstory: <br /> t <br /> :CliECKLIST... <br /> All Applications <br /> Cornpinled Application Forms la-�— Owners'Signaturo F}� <br /> Copy of Deed or Proliminnry Two Deport ' ❑ Copies of Plan or Map [� <br /> 8%'x 1 I' flodUcod Plnn or Mnp ❑ I lazardous Molorials Dlsclosuro Survey ❑ <br /> Development Impnct Miligollon Poo Form ❑ Assassor and History Pnges ❑ <br /> Ilnmos List ' ❑ Sower/Walor^Hill Servo' Lotlor ' ❑ <br /> Goneml PInn Mnp • ❑ Zoning Mop ' ❑ <br /> Soils deport • ❑ Soils Suitability Study ❑ <br /> Subsldenco Area ❑ Yos ❑ No Expansive Soil Area ❑ Yes ❑ No <br /> • Theso nrnterinls may not bo roqulred for certain appllcnlfons. Chock the application typo for details. <br /> Complotod Dy: Dote: -- <br /> nppcnu , nn <br />