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APPLICATION CONTROL SHEET <br /> MI <br /> , �„s >a a3" V <br /> N. <br /> a '' nC lAGllf) .�','SL�t Jori{ JlaLL'.'„~:��2: r ''�•c . 5�;5 k=a2,•` i :(w <br /> PrrApp:❑Yea❑No Fca Receipt Number Data <br /> Fye Number k.Q — rea 4GZ-cf Reacipt Number. rJ-4'7t Data 3 `4H <br /> File Number. Fee: Reocipt Number Data <br /> Me Number. Feer Receipt Number Data <br /> Project Description: LUT <br /> sou C'7 eau t5'�'l,•.ct l��.c,�5 I� '���C s 7 t��-c.a. <br /> C rale <br /> Protea Lootlon: G�1 �� � t�� ;:7 <br /> rtT L. <br /> A-(AJ LA ti� Set 7l+ G� LcJC �c r z a t i> <br /> Address: l0 3<GO I-J <br /> APN(s) 65-(- Z,-,O- l C) OS t t /e Z <br /> Enterprise Zona ❑Ya o General Plan Designation: A/U <br /> Property Zoning: q6 (d Zoning Map: J�UM 7y� General Plan Community: <br /> -:i�♦a s � v�' rGeneialPlan �»`�.,. '' a�.s�' � ♦ <br /> -7Anlri <br /> , <br /> i Adlieeni T-and Use .•.<:,a,� .�. x ra.n�;;�\�,.�„�.��:, ..,....<x<.to,rr�'F.<. , � <br /> North: <br /> South: ,ti. <br /> Fast: AZvv t f {' G �o <br /> West C...X-7v,� CT FKf `(U <br /> 100-Year Flood❑Ya❑No Zone Williamson Aa❑Yu o Prime Soil❑Ycs❑No❑NA <br /> Airport Arra❑Ya*10 Specific Plan(s)❑Yo`Pl�p Supervisorial <br /> Names Road Namc District: <br /> History. La.- G - p_ x744 Ptir- ?-7 -t Rv1=77- <br /> 'S; ♦ ' ' a *P k' 'rx:;a '+6,•d .>ror a” Yia� aarc?a.& ilay.�" ,aye 'W.4 '3* a naA"'� Z ; r` ^. <br /> Completed Applications Fortes Owner or Agent Signature <br /> Copy of Deed or Preliminary Title Report*(,,! n..f -ZIK Hazardous Materials Disclosure ❑ <br /> 8 1/2'z 11'Reduced Plan or Map Copia of Plan or Map >X <br /> Soils Suitability Study' ❑ Assessor and History Pages a� <br /> General Plan Map'/Zoning Map' ❑ Soils Report* ❑ <br /> Subsidence Area❑Y o Exp.Nc Soil ❑Ya o <br /> Ox �HESE <br /> ' IERTAIS MA'f NOTBk�EDUMEA F4TL CET2TAIN ARPLICATIQN S am'3� c <br /> c <r t ijag�'" s CHECICIHSAPP[ICATION I YPEFOR DETAILS 1'GO.� : '�x t <br /> 2.,w4;` aliF:SYvi.c,...,.a.�,>., �V�3:ry. •V,' >. .... „ i .f b.�-A "�,�, aw A� ,�4:: <br /> ?`u"tN°-�;QJ-ca� .z�i.<an* xV,a h♦r� �«�X�,xc s� H ♦ as .... `�.. ��,�hk�r, �y'���'.. <br /> ♦ itvP lvtn�'$ <br /> ;'kOx.>.'i�.�:♦A a�...:;�i�,a�.�.a,� <br /> •• ♦ "• z ».� iv�so:<. „3osa�L<a+a�az�*k�a?«`> <br /> Map Signed By Owner ❑ Tract Number and Name(Major Subdivisions Only))o1 <br /> Adjoining Property Owners Names on Map All Lots Numbered <br /> Contour Lana %I( Location Well A Septic O� <br /> \ a„, s z<ez♦aa -kms >z,s�aye A9gy ; ;♦Le ♦.._, ,.h <br /> ♦,. )EXCAVttTIONS <br /> Reclamation Plan and Schedule ❑ Financial Guarantee ❑ <br /> 7plcal Cross-Sections ❑ Elevation Calculations ❑ <br /> Engineer's Stamp ❑ M.R.Z❑Yes cNo <br /> Completed By: Q� (rte Data 1-7li`j <br /> r <br />