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APPLICATION CONTROL SHEET f
<br /> Prh-Appc❑Ya❑No Fee Rompt Number Dale
<br /> iae Number: A-�4-Oq res ¢6 2- DO Receipt Numb= //9 Data z .�
<br /> File Numb= Foe Receipt Number Date
<br /> File Number Fera Receipt Numb= Date
<br /> Project Description: Lp T L/N V S7,ti EN r: TO Sn1C'4-'su S£ A-F-6A
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<br /> Project Location: Ort -T 4 N Cjlit'tl F S/ O a STATE waver 4 /2 Ar
<br /> Aro E< D19CH ROO tb Wt5S1' 01= CGE�»FN9 S .
<br /> Address: 16 3o'L, S r 88 N y
<br /> L o c r-.-r-n� CA APN(a) 01 q-
<br /> Enterprise Zone ❑Yrs 0?16— General Plan Designation:
<br /> Property Zoning: AG-tip Zoning Map: L64k6,CO'F> General Plan Communilr. --
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<br /> North: 4 Esie2lCvcCT(/(Zf A G AG-40
<br /> South: •• A4 G 1(
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<br /> West f l 1t
<br /> 100-Year Flood❑Yoo[�C�� Zona Williamson Act❑Yrs elVo Prime Soil o❑No❑NA
<br /> Airport At=❑Ya t� Specific Plan(s)❑Yrs[APS Supe visorial A
<br /> Name Road Namc Dist,ct �-j--
<br /> History: `rhA-- 16 1q-Z 7111-82-183 DV-0'7-1
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<br /> .acct F's�� ��!« 32iY•: 'S•>,
<br /> Completed Applications Forms 3---- Owner or Agent Signature p/
<br /> Copy of Deed or Preliminary Title Report* O� Hazardous Materials Disclosure ❑
<br /> 8 12'z 11•Reduced Plan or Map Irk Copies of Plan or Map U.—
<br /> Soils
<br /> Y
<br /> Soils Suitability Study ❑ Assessor and History Pages C--
<br /> General Plan Map*/Zoning
<br /> Map* ❑ Soils Report* ❑
<br /> Subsidence Area❑Yes Oleo Expansive Soil Y.M<.
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<br /> Map Signed By Owner Tract Number and Name(Major Subdivisions Onlyx7
<br /> Adjoining Property Owners Names on Map O All Lots Numbered
<br /> Contour Linn ❑ Location Well&Septic ❑
<br /> "��`� 'F a �Yo: ,�`. ..�' v R`i'sk x"3'3`.S..,x. �,.a..:: .a4 ,t,x.. �za rx.3.��•�`�'e:�Tia �
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<br /> Reclamation Plan and Schedule O Financial Guarantee ❑
<br /> Tfplcal Cross-Sections O Flevation Calculations ❑
<br /> Engincrr's Stamp , t Cl MILZ.LZ.❑Ya ONO
<br /> Completed Dr. � �f 1,11 -fi�;V7t1,j I Date 2-14lq4-
<br /> CantroLks
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