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APPLICATION CONTROL SHEET <br /> ....... .....:......:...................:.:..:.::....:..........................:.:.. <br /> To bn;corir 'leled bavelo mbnl.Sargfce Waff;. <br /> ......:... <br /> p Ys., . p <br /> rroApp Only: ❑Yes ulio Foo: nocolpt Number: Dale: <br /> rile Numbor: roo: 3 nocolpt Number (�, _ Onto: _z C. <br /> Filo Numbor. roe: nocolpt Number: Dale: <br /> rile Number: roo: nocolpt Number: Dale: <br /> Doscriptlon of rro)oct �I,e, 4fc,;,, <br /> ProjectLocnllon• NC,/At-, C�^''t� <br /> Addrogr: <br /> ArN(s): ,Z <br /> Grnomi rinn Community: General clan Designation: 14L <br /> 7oning Mnp: rroperty Zoning: 1,16,CLO Overiny Zono(s): <br /> Ad)ncont Genoral Finn Zoning <br /> 1401111: <br /> South: <br /> En^,1: <br /> West: <br /> 100-Yonr rlood ❑ Yes ❑ No Williamson Act ❑ Yes ❑ No Supervisorial District: 5 <br /> Airport Aren: Specific rinn(s) ❑ Yes )YNo: <br /> J..2 <br /> I listely: S L) -9 z—(u r7 LA ��._y :;RwmP•'"�s'- <br /> >. <br /> cHEcKLisr <br /> All Applications <br /> Comploled Application corms .0� Owners'Signature <br /> Copy of Deed or rrollminnry Title nepoll• ❑ Copies of cion or Map 17� <br /> evv x 11'nodUcod Finn or Mnp ❑ Ilazardous Mnlorials Disclosuro Survey ❑ <br /> Dovelopmenl Impact Miligallon roo conn ❑ Assessor and I listory rages ❑ <br /> Nnmos List " ❑ Sower/Walor'Will Servo'Letter' ❑ <br /> General Pian Map" ❑ Zoning Map• ❑ <br /> Sells nnport" ❑ Solls Suitability Study " ❑ <br /> Subsidence Aren ❑ Yes ❑ 140 Expensive Sell Area ❑ Yes ❑ No <br /> " Ilicso mnlerinis rnny not be required lot cerinin applications. Chock tho application typo for details. <br /> Tenlnllve Mops <br /> Mnp Signed by Owner ❑ Tract Numbor and Name (Mn)or Subs only) ❑ <br /> Adjoining Property Owners Names on Mnp ❑ All Lots Numbered ❑ <br /> Contour Lines ❑ Location of Well and Septic System ❑ <br /> Excavatlons <br /> nocinnmlion rinn and Schedule ❑ rinanclal Guarantee ❑ <br /> lyplcnl Cross•socllons ❑ Elevation Calculation Schodule ❑ <br /> Engineer's Stamp ❑ <br /> Completed Dy: Date: _2 ] — 25-3 <br /> �, njrpcnh . nn <br />