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7.1) <br /> APPLICATION CONTROL SHEET <br /> t t _to � u.�> ££ 3. ,�S ; a.� ��,F,�3��ct�cKtt1•zh�R <br /> to ba comple(ei(by <br /> Foo: tlocolpt Number: Delo: <br /> rroApp Only: ❑Yes ❑ No G <br /> rile Number. SQ.-93 <br /> S Foo: flocolpl Number: b 65 Dole:�'{-L q <br /> filo Nunnbor: <br /> Foo: nocolpl Number: Dole: <br /> Fllo Number <br /> Foo: nocolpt Number: Onto: <br /> Description of ma)oc1 'tom Pcv7l�2c1�1�� A 1�r C � �� t�CPPv.f9 <br /> 1cf S�1�Cr 2t Swmo j By b,got r.(cr <br /> DO Z tint(-R�2- f'"9 D",qy QC)(J"-1 <br /> rrolacl locallon (�y �iE ( jOS C.R-1 W ( (�02 nitcx U� �`�('Vr�nlC <br /> Addross: <br /> �'iTX6GZ� r e �t GAPN(s): <br /> Genotol plan Cornrnunlly: Gommril rinn Designation: <br /> Zoning Mnp: ATtQ`v T �flc <br /> rroperty Zoning: pc G'4-o Ovonlny Zono(s): <br /> (v <br /> Genorol Pion Zoning <br /> Adlnconl <br /> North: It <br /> It <br /> South: <br /> East: <br /> ti <br /> West: <br /> 100-Your Flood ❑ Ycs <br /> He Wllllnrnson Act ❑ Yes I�No I SUporvisorlal District: <br /> Airport Arco: NC"x Specific rinn(s) ❑ Yes ji No: <br /> Ilslory: (c(-3 : . aqC a� <br /> KL <br /> All Applications <br /> Completed Application Forms 119(l Owners'Signature <br /> Copy of Decd or Prollminnry Title fleporl' 11;1� Copies of rlon or Map ?v <br /> 9%'x t i•tloduced tion or Mop 4 1lazordous Materials 01100suro Survey <br /> Development impact Mitigation roo Form ❑ Assessor and History Pages <br /> Names List• Pz- Sawer/Walar'Wlll Servo'Lollor• ❑ <br /> Gm,ornl Plan Map' <br /> ❑ Zoning Mop• ❑ <br /> Sells floport' <br /> ❑ Soils Suitability Study' C1 <br /> Subsidence Arco ❑ Yes Na Expansive Soil Area ❑ Yes No <br /> • lheso mnle,lob rnny not be required tot cminln opplicnlions. Chock the application typo for datolis. <br /> Tentative Maps <br /> Mop Signed by Owner ❑ Tinct Number and Name(Mn)or Subs only) ❑ <br /> Adjoining rroponly Owners Names on Mop ❑ <br /> All Lots Numbered ❑ <br /> Contour Lincs ❑ Location of Wall and Septic System ❑ <br /> Excavations <br /> floclnn,nllon tion and Schedule <br /> ❑ rinoncial Gunrnnlo• ❑ <br /> Typical Coosa-aacllons <br /> ❑ Elevation Cniculnllon Schedule ❑ <br /> Engineer's Slnn,p __ - - - 13___— <br />