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APPLICATION CONTROL SHEET <br /> } a s y £t rl+ <br /> ,,;: To be comrloled��bnve�tipmon(§�wi�e�I�it� £ <br /> rroArp Only: ❑yes ¢(No roo: nocolpl Number: Data, <br /> rite Numbor: G X_Cr 3_2 roo: y3S 1locolpt Number: 4,J r7 Dole: 7-3a <br /> rile Numbor. roo: Iloeolpl Number: Data, <br /> rile Numbor, roo:: Ilocolpl Numbo : <br /> n r: Delo <br /> Dosedpiloor Pi.n // <br /> roject a r t C - �TNy r ( X Pc, <br /> , >ic,Lr f o 1P V e <br /> T <br /> nojocl Locnuon: 7 0 U -e u 1,:7V k 0 U <br /> WPs� n V✓1uvr� r� 2a� Ms I of 2rrn11r'I <br /> Address: — 9 SE FLteclr <br /> ArN(s): <br /> Ocnmril 1'Inn Cornrnunlly: Gonornl cion Dosignnllon: J (J— <br /> Zoning Mnp: rroperly Zoning: v Tovoliny Zono(s): <br /> Ad)ncord Genornl rinn Zoning ^ <br /> North: r 6--�l� <br /> South: <br /> West: � U <br /> foo-Yonr rtood O yes ❑ no, WIIIlnrnson Act O Yes Grl o Suporvisorlal Dlslllcl: <br /> Alrpod Aren: Spccillc Plan(s) ❑ Yes ❑ No: <br /> Illslory: <br /> All Applications / <br /> Completed ApplIention rorms ❑-, Owners'Signature 8' <br /> Copy of Deed or rrolhnlnnry Title rlepod• Copies of Plan or Mnp B- <br /> 0'/;x 11'noduced rinn or Mnp O 1lnxardous Mnlollats Disclosure Survey ❑ <br /> Development Impact Millgnllon roo roan O Assessor and History Pages <br /> Nnrnos List• Sower/Wator'Will Servo'Lollar• ❑ { <br /> Gonornl rinn Map' ❑ Zoning Mnp' ❑ <br /> Sells noporl• ❑ Solis Suitability Study' ❑ <br /> Subsidence Arca ❑ Yes No Expansive Soil Area ❑ Yes �o <br /> • Tlreso rnnteriols mny not be required for cortnin applications. Chock the application typo for details. <br /> Tenlnlivo Maps <br /> Mnp Signed by Ownor ❑ Traci Number and Name(Major Subs only) ❑ <br /> Adjohdng Proporty Owners flomes on Mnp O All Lots Numbered ❑ <br /> Conlotrr Lines ❑ Location of Wall and Septic System ❑ <br /> Excavations <br /> floclmmnllon rinn rind Sche"o ❑ rinnnelnl Guarantee ❑ <br /> Typical Cross-snclions 13 Elovallon Colcufnilon Schodulo 0 <br />