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APPLICATION CONTROL SHEET To be eomploled by bnvelopf lent Sifrvlce stall ProApp Only: ❑Yes o Foe: Receipt Number: Dale: Z File Number: (J� '�l 3�3� Foo: � (o U Receipt Number. Data: Filo Number: Foo: nocalpl Number: Date: Flio Number: Fee: Receipt Number: Data: // 1 l Description of Project ��{ �rkie 11144 ct5 1 Pm e0 Project Location a cri $!C� o t /�C IC rr l t�z I lllDy{� Address: 1 11 (o 0 5 C kiG V APN(s): General Plan Community: S oc �� ^ �C General Plan Designallow Zoning Map: -5T(,-y) S T Property Zoning: -L Overlay Zona(s): Adjacent General Plan Zoning North: L_ `�L L South: L _ East: L -. L West: 6 100-Yonr Flood ❑ Yes No Williamson Act ❑ Yes QifV0 Suporvisorlal District: Airport Arca: S7/Ccs Specific Plants) ❑ Yes ❑ No: History: 5 2;J L-✓> G('3y Y++N Sf -Q—lo oCY-S 2 Z-77-20C n -jr- CHECKLIST All Applications Completed Application Forms f�� Owners'Signature Copy of Doed or Preliminary Title Report' 6� Copies of Plan or Map 81A'x 11'RadUcod Plan or Map Hazardous Molorinls Disclosure Survey ❑ Development Impact Mitigation Fee Form ❑ Assessor and History Pages Names List' ❑ Sewer/Water'Wlli Serve'Letter• O General Plan Map ❑ Zoning Map• ❑ Soils Report ❑ Solis Suitability Study• ❑ Subsidence Arca ❑ Yes Expensive Soil Area ❑ Yes No o P ` These materials may not be required for certain applications. Check the application type for details. Tentative Maps Map Signed by Owner ❑ Tract Number and Name(Mnjor Subs only) ❑ Adjoining Property Owners Names on Mop ❑ All Lots Numbered ❑ Contour Lines ❑ Location of Well and Septic System ❑ Excavations Reclamation Plan and Schedule ❑ Financial Guarantee ❑ ---'- Typical Cross-sections ❑ Elevation Calculation Schedule ❑ ) " _•,_,,. Engineer's Stamp ❑ Dote: Completed By: