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f <br /> e <br /> APPLICATION CONTROL SHEET <br /> To be eomplaled by Development Servlee.tell <br /> Pi.App Only: ❑Yoe ❑Ito / Fee: n.c.lpt Number: Dole: <br /> FII.Number: _ o7—;z44Fe fq .P necelpl llumber: 2/FS9 Dol.: <br /> File Hmpber. Feer: n...1PI I'lwnber; Dole: <br /> File Number; Fee: necelpl Number; Dole: <br /> Descdpllon of Pwl.d <br /> Plolocl Locelion: <br /> Y <br /> Address: <br /> /`a y��p� APN(,):D19-070 76 <br /> General Plan Community: 1 Genoml Plan D,,lgnallon: (/w.1�0—f'�(��( <br /> Zoning Mep: (��ej Roperry Zoning: ��—t�O Ov.dny ancls): <br /> Adi.eenl Der,erel Plan Zoning <br /> Eo,c <br /> West: � <br /> 10gYoar Flood ❑YeaNe Williem,on Acl ❑ Ye, No I Suyervisorlel Di,lrlcl: <br /> Airport Area: Speelfte Plen),) ❑ Ye, IJo: <br /> I lisl.ry: V/N -70 <br /> CHECKLIST <br /> All Applications <br /> Complcled Applieallon Forma Er Gvrneri Signelur• <br /> Copy of Deed or Proliminery Till.nepon' ❑ Copies al Men a Map <br /> I I'neduced Plan or Mop me, Humelou,Materials Disclosure Survey ❑ <br /> Development Impact Millgallan Fee Form ❑ A.—se,end tg,lc y Pop, <br /> Names LI,I ❑ Se--Wats SV9 Serve'Lou,,• ❑ <br /> Go..,.;Plan Map' O Zoning Map' D <br /> Soil,ncpoil• ❑ Sols Sullebllily Study• D <br /> ' The-mal.,W,may not be,.qulred I.,cedaln epplic.li— Cheek the eppg..11..type for detail.. <br /> T.mellva Mope <br /> Mop Signed by 0—e, ❑ Trod Number and Nem.IM.I.Subs only) ❑ <br /> Sepla ❑ AN Lots Nmnb.red ❑ <br /> C—I—Ll— ❑ Location of Well and Sepik Sy,lem ❑ <br /> Agdcullmal Ilomsahs Form ❑ Adjoining Property Omaars Names on Map ❑ <br /> FSeavallon. <br /> noclameuon M.end Schedule ❑ Financial Guarantee D <br /> Typlaal C.......<lion• O Elevallen CeleVlellon Schedule ❑ <br /> Englnom',S—p D <br /> Completed By: Dole; <br /> nppcu r.rrra <br /> r <br /> J <br />