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i <br /> APPLICATION CONTROL SHEET <br /> :•::•::..n..r,••.:.:'::t<:tY <' �t r),p <br /> -<:T om oler3� nen mo n" rl:...:.r .F..;.::.<. <br /> p :b. v I nta ry co Intt:. •,<,. :<r.. .,.)..y«'<,�>.<,.• <br /> p <br /> F:::..:...:..:..:•:.:.......::•:::MQ>:`i.•::.::q;}::i)UYs�:;.;,,.h:::i%:n>:.SSh�•ra..•v..). <br /> Fila Number: .-g 24' Foo: 5"��- Ilocotpt Numbor. 3 Y�2 Doto:41-'Ze,_y. <br /> Description of Project Se C•orl al CI.t j I);.✓-e frm G% ,e)2/10 aJi— qr1 (aa <br /> Pro)nct Locntlon: <br /> Acidtocn: 1 (gs f9 N Vr ft r $" ffzt- o l <br /> APN(s): <br /> General r Inn Community: General i'lon Deslgnntlon: A•L. <br /> Zoning Map: Property Zoning: L -S� Ovotiny Zono(s): <br /> 100•Yonr Flood ❑ Yes ❑ rJo Willlnmson Act ❑ Yes W**No I Supervisorlal District: ly <br /> Alrport Aren: Specific f lnn(s) ❑ Yes ❑ No: <br /> I ifstory: <br /> :::... . <br /> All Applications <br /> Compinted Application Forms Owners'Signature <br /> Copy of Deed or I'roilminnry Two deport ' ❑ Copies of Plan or Map <br /> 8'/2,x 11' noducod ('Inn or Mop ❑ I lazardous Materials Disclosure Survey ❑ <br /> Development impact Miiigalion Fea Form ❑ Assessor and History Pages ❑ <br /> f famos Llst ' ❑ Sower/Wator'WIII Servo'Lollar • ❑ <br /> General Pinn Map • ❑ Zoning Map • Q <br /> Soils iloport' ❑ Soils Suitability Study ' ❑ <br /> Subsidence Arca ❑ Yes ❑ No Expansive Soll Area ❑ Yes ❑ No <br /> ' These mnterlals may not be required for certain applications. Check the application typo for details. <br /> Complolod By: � Onto:- ;Z Q <br /> appcntr . nn <br />