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AOLICATION CONTROL SHEET ` <br /> ..LTa e: umplalad by Davelopmeul S. 1, strait.•-. <br /> PreApp only: ❑Yos X No Fn: n...1pl IJwnbv: Dole: <br /> Fila Nun ber'• SA- JZ- (L} Fee:IL-6T,cz nacelpl 14—bm:ZLJQ Dole:10-ZZ-11 <br /> File Number: Fee:�as•G neealpl IJurnbv: Del.: <br /> Nle Numban Fee: nacelpl Nwnber; Dales <br /> Dcacrlpllan of Pro)oel / <br /> Pr.j..t Locellon:0 <br /> Addie,,:/ <br /> �• G� APN(s): <br /> Gonmal Plan Commul lly; Genoml Pion <br /> Z-Ing Mop: �� Property Zoning: �'G-�4D 0-19y Zona(s): <br /> Adjo.enl General Pion Zoning//jj// ! <br /> Norah: �l G' y/(/LP ACZ`',7y <br /> South: <br /> West: <br /> 100-Yaor Flood❑Yes No Wltliemsan Act ❑Yea N. I Supervisorial Disbicl: <br /> Alrporl Are.: Specllie Plans) ❑ Yea Na: <br /> Ihslory: I/0 3t�o <br /> r'a'CIIECKLIST <br /> All Applle.lione <br /> Courpleled Applic.11on Forms Dwneri Signature <br /> Copy al Deed or Preliminery Title neporl• Cople,of Plan or Met, FIL <br /> S%;x 11'neduead Me.or Mep llnerdou+Msledala Disclosure Survey <br /> Development Impact Millgallan Fee Forrn ❑ A,se,s.r end Ill,ic y Peg.. <br /> IJnrnes LIM I'u Sewer/Weler'WIII Serve'Leller• ❑ <br /> G.not.l Plan Mep• ❑ 2oning Map ❑ <br /> Soils nepotl a ❑ Sella Sullebllity Study' ❑ <br /> These maledols may not be requlrad lot ced.in epplicaUens. Check the epplicellon type for delalh. <br /> Tanl.11ve M.ps <br /> Mop Signed by owner ❑ Tmcl Number and Neme(Major Subs only) ❑ <br /> Sept. ❑ All Lola IJmnbered ❑ <br /> Cordow Lina, ❑ Location of Wail and Septic System ❑ <br /> Agdeulluml 11...sit.Form ❑ Adjoining Propmty Owners Ihnma on Map ❑ <br /> Ex....limo <br /> naeiensation Pion end Schedule ❑ Finenelel Gum..[.. ❑ <br /> Typleel Crou•...lion, ❑ Elevation Colculnllon Schedule O <br /> Engl.aar'.Slernp ❑ <br /> Complaled By: Dal.:/Q-2 9/ <br /> nppcn I r.1nu <br /> . :. <br /> `. <br />