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• 1 <br /> 'APt'L1CATlON CONTROL SHEET <br /> w.6., .. J •r ) .�.., .• .•t-lf-. (. '7 !L'r•-•• .-.,,. <br /> To be eomp(olsd by Uevalopmanl.Smvleo elnlf..•,_ ••�����„'•i�•5•,!!'': . ,. . <br /> i. <br /> 1. PtvApp only: ❑Yos 110 Fee: n.oapl Number: Date: <br /> File Ilumbor: SA-qZ ( ) Fee; iZzO_°° neeelpl tdmuboR ZI fO 3 Us Is:/•/�•qi <br /> e ,S .s raw <br /> Fila Nunsbor: Fos: s w� nswlpl Flumben Dale: <br /> If File Ilumbert Foe: necelpi Number: Units: <br /> —77' <br /> Dosedpllon of Ptoleet �e MG �� .5 ��� <br /> C �P_ JA <br /> s EEF- A u5--E .4-l-ro nnv PS i L-A-=: i+-I � �10.1 r pt <br /> f t ' <br /> !�w <br /> f <br /> LOCI-TGD <br /> PtolocI Loeollon; . L-^ T- S 174v— oFF tE-t o�t4po JI�eT, t -3 <br /> Addiass: f—=I— pPfZ-.--C:>.Iz> 5 <br /> alt G�tnnP G;°� �aL�l ArN(s)c Iq3 Ir10 ' '�� <br /> 061ciOf 111411 Comtnunlly: o Genotal Plait Designation: (p meq` (tom <br /> Zoning Map: [p Piopedy Zoning: (mss-� Overlay Zons(s): <br /> Adjacent Genatol Plan Zoning <br /> Soulh: G-A/x <br /> Ensi: -2- <br /> West: <br /> LWest: Connine�G,o.� S !ice G—M <br /> • fou¢ <br /> 100•Y.Flood�Yes Flo 4z2 Wuuamson Act O Yes ji(No Suporvlsodol Dlslilct: <br /> AlrporlAroa; SpecificPlon(sl ❑ Yes %I to: <br /> i <br /> 1111101y: U ?- lO?, Y -f-7 -S5, cl�-72-330, (-7e, 3C, <br /> 'i)',Y iiI3:4.. ♦ <a.a1`;�tt1.g °r'1.7A d�'Sl�ij�t�r��=)r..: � ....••ilii!illi�'I)C!l_.n.y.,.•..•t�.,•�.il.,f'.-vf.�.... ..ai_ <br /> CHECKLIST.” <br /> :x: Jl• f j�`:!iia l: -r I t.,�',.i:• rY <br /> All Applications <br /> Complated Appilcallon Fours I Ownari Slgnaluso 7 <br /> Copy of Dead or Ptoliminary Title nepod )K Copies of Plan of Map �1 <br /> a'/.•x 1 i'noducad flan or Mop v r I laserdous Melcdals Dlsclosure Survey <br /> Dovelopmonl hnpad Mlllgallon Foe Foran ❑ Assessor and Ilislory Papas <br /> flames Llsl Sewet/Wolel'Hill Serve'Lellot' ❑ <br /> Clanwol Plan Map• O Zoning Mop' O <br /> Solis nopotl• ❑ Softs Sullabilily Study• ❑ <br /> Tlmse melodals tray not be roqulred lot eadnln appllcnllons. Cirecir Ilse application type Im details. <br /> Tantaltva Maps <br /> MOP Signod by Ovmct ❑ Tincl Numbat end Name(Major Subs only) ❑ <br /> t <br /> Sapla O All Lois(lumbered O <br /> Couleur Lines O Locallon of Wall and Septic Systain ❑ <br /> I I <br /> AOticulluial I Iomesho Faun ❑ Adjohdng Ptopody Owner Nemec on Mop O <br /> ri Gcovnllons <br /> noclamnllon Plan and Schedule O Flnanclal Gumenloe O <br /> • ' Typleol Ctass•seauan. ❑ Elovej(on Cnleulnllon Schedule O <br /> EnOinom's Stamp ❑ <br /> i CO11116led Dy; .av'-..ICGtA Data: l• �(p.�Z <br />