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APPLICATION CONTROL SHEET <br /> t t <br /> i s <br /> To bn completed(Sy buvelupmenlnvlce N61 <br /> :.....::.:,. z> <br /> rroApp only: ❑Yes ❑ No roe: noccipt Number: Dolo: <br /> rile Numbor. q-S roe: 3 nocoipl Numbor, QZ!(p Date: 8I27(13 <br /> rllo Numbor: roe: nocolpl Numbor. Onto: <br /> rllo Numbor. roe: hocolpl Numbor: Unto., <br /> Doncrlpllon of rro)ocl L-c�"i 2 r.."-.— ] f2z1--Ntv-lE <br /> it?U'13r��71�LL 1 <br /> rro)ocl Locntlon: --— -7)-W - ) /)F-) 5 �/)F 02yt1Az05_ Ati`n_,e_/ -780 f <br /> r G� {��►JZy 12c'1�1 0011 t-+- ,Kr eA= L/4tc-J <br /> Addross: <br /> -2-q-3 7-1- <br /> ) bl/Aru j Parte <br /> 636A,ai C A S56( IArN(s): <br /> Genorni Plnn Cormnuni!y; Gonorni Plan Dosignnllon: A1 <br /> ]_ening Mnp: wL' Property Zoning: A L�(OOvoriny Zono(s): <br /> Ad)ncnnl Genornl rinn Zoning <br /> North: �- <br /> r <br /> South: rl l <br /> rust: rl (l <br /> West: ll <br /> 100-Yon r rtood O Yes No Wllllnrnson Act -Yos U No Suporvlsorial Dlslricl: <br /> Airport New �/ownc Specific Plnn(s) d,Yes Tz(-No: <br /> l iislory: NL' <br /> cl i�c(cllst <br /> t .; <br /> All Appllcnitono <br /> Complolod Appllcntlon rorms Owners'Signature <br /> Copy of Deed or rrolimli,my-two neporlCopies of Plnn or Mop q <br /> a''/,*x I I'floddcod rine or Mop ' I Inznrdous Mnlodnis Disclosure Survey ❑ <br /> Davolopmenl Impncl Miligntlon roe roan ❑ Assessor and History rngos <br /> Nnmos List " ❑ Sowor/Wnlor'Will Servo'Lollar ' O <br /> Gonornl Pion Mop ' ❑ Zoning Mnp ' d <br /> Solis floporl" u Soils Sulinblllty Study ' d <br /> Subsicinnce Aren 0 Yes No Exponsivo Soll Area d Yes No <br /> I Ilene mnlerinls Inny not be required tet certnin nppllcnllons. Chock!ho oppllcn!lon typo for dolnlls. <br /> Tantnlivo Mnpa <br /> Mop Slgnod by owner [] Trocl Number and Nome (Mn)or Subs only) a <br /> Adjoining Property Owners Homes on Mnp ❑ All Lots Numbered C] <br /> Conlour Lines ❑ Locntlon of Well rind Septic System d <br /> Excnvnlions <br /> Iloclnntnliort rine nrrd Schoduln C] rinnnclnl Gunranloo d <br /> Typlcnl Cross•noclions 13 Elnvnllon Colculnlion Schodulo d <br /> Engineer's Slmnp ❑ <br /> Complolodfly: wl Q AGF I�i4� Unto: <br /> nppc11;1.r <br /> tr .rm <br />