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AOLICATION CONTROL SHEET <br /> � .:�' ;rale.y:;;•;L.::: f •>..9t. Y;• „;.`s t.•Y. .. <br /> "7t•Lc.'it:#' S�' �?`;;. `' :•',` '' '' To ba complolod by Dovelopmeni.Servlco tint( <br /> 4: •'r <br /> i. ProApp Only: ❑Yes No Foo: nocoipt Numbor: Data: <br /> it <br /> Filo Number: SD, cDZ- ZZ Feo: 3 j,=� noceipl Number: 21 PC'`')Z <br /> I <br /> File Number: Foo: nocelpt Number: Dole: <br /> r <br /> File (Jumbor, Foa: necolpl IJumbor. Data: <br /> Description of ProjectjEC: �-iDv.(�.LLI.,�c,� <br /> I I <br /> Project Location: S oca--r}{ S t OF 1>L U S T D <br /> i <br /> r""C-t-t eAy,\e J—'0A-F2 E AST <br /> : t <br /> Address: O U -uu D <br /> (zErs�li Gym C� �S Z 3 APN(s): "77 — O U-10 — 09 <br /> Ge6cial flan Community: c� -k-1-a.S Genornl Pian Deslgnnllon: A,,�i�- --rte•r-c--- <br /> Zoning Map: - ty Properly Zoning:T JA Ovariny Zona(s): <br /> Adjacent General Pion Zoning <br /> tJorlh; v Iz I u L-Ft fZ-c_= - �A <br /> Soullr: <br /> Ensl: <br /> West: <br /> ioo-Yoor Flood ❑ Yes )21(No Williamson Act O Yes �f No Supervisorial Dlsblcl: <br /> Alrporl Aroa: Specilic Plon(s) ❑ Yes -,No: <br /> i <br /> Ilislory: ce <br /> All Applications <br /> Completed Application Forms ! Owners'Signalure ;fid <br /> Copy of Deed or Prallminnry Tlllo neporl ' )3! Copies of Plan of Mnp ❑ <br /> o''/,'x i i' noducod Plan or Map Hazardous Mnlerinis Disclosure Survey ❑ <br /> Development Impact Millgallon Foe Form ❑ Assessor and I Ilslory Pages <br /> Names List ' ❑ SewetANaler'Will Serve'Lellor ❑ <br /> Gonoro)Plan Mop • ❑ Zoning Mop ❑ <br /> Sells Report ' ❑ Soils Sullobllily Study • ❑ <br /> Those materials may not be required lot certain opplicalions. Check the applicnllon typo lot details. <br /> Tenlallve Maps <br /> Mop Signed by Owner ❑ Trncl Number and Nome (Major Subs only) ❑ <br /> r , <br /> soplo ❑ All Lois Nurnborod ❑ <br /> Contour Linos ❑ Locallon of Wall and Septic Syslam ❑ <br /> Agrlcullural I lomosllo Form ❑ Adjoining Properly Owners Names on Mop ❑ <br /> Excovnllont <br /> noclomallon Plan and Schodulo ❑ Financial Gunronloo ❑ <br /> Typical Cross-sgtllons ❑ Elovollon Cnlculalion Schodulo ❑ <br /> Englnoot't Slarnp ❑ <br /> Complolod By: /k IC- Dale: 2 Z- <br /> y nppcn I nu - <br /> r <br /> I ' <br />