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APPLICATION CONTROL SHEET <br /> Ta'bb Completed by Dovelopmanl'Servlca 31x1( <br /> PreApp Only: ❑Yes ❑ No Fee: Receipt Number: Dale: <br /> 0 <br /> Filo Number: f,�'-9�-c/� Foo: fQrj Receipt Number: 173 Date:8/o'f'L <br /> Flio Number: �r�L C"�'Q!(.�l/O(` Fee: Receipt Number: Dale: <br /> File Number: Fee: Receipt Number: Date: <br /> Description of Project <br /> atcr� �o a <br /> Project Location: <br /> Addre s: y <br /> tt `, <br /> General Plan Co munity: General Plan Designallon: <br /> Zoning Mop: /11�— Property Zoning: —/ Overlay Zone(s): <br /> Adjacent General Plan Zoning <br /> North: ,Q �(�-7(o <br /> it rr <br /> South: <br /> r rr <br /> East: <br /> it <br /> West: <br /> tn(,c <br /> 100-Yoor Flood X Yes ❑ No Wlliiamson Act ❑ Yes No Supervisorial District: <br /> Airport Area: Specific Plan(s) ❑ Yes No: <br /> History: )-L7 y}-5o-eiiL 7ZFZ Z-7/-Gd <br /> CHECKLIST <br /> All Applications <br /> Completed Application Forms Owners'Signature ' <br /> Copy of Deed or Preliminary Title Report' ❑ Copies of Plan or Map ❑ <br /> 8'/'x 11'Reduced Plan or Mop ❑ Hazardous Materials Disclosure Survey ❑ <br /> Development impact Mitigation Foe Form ❑ Assessor and History Pages 0 <br /> Names List• O Sewor/Waler'Will Sorvo'Letter' ❑ <br /> General Plan Mop• ❑ Zoning Map' ❑ <br /> Soils Report• ❑ Soils Suitability Study• 0 <br /> These materials may not be required for cerloln applications. Check the application typo for details. <br /> Tentative Maps <br /> Mop Signed by Owner ❑ Tract Number and Name(Mayor Subs only) ❑ <br /> Sopla ❑ All Lots Numbered 0 <br /> Contour Lines ❑ Location of Well and Septic System 0 <br /> Agricultural Homosile Form 0 Adjoining Property Owners Names on Map 0 <br /> Excavations <br /> Reclamation Plan and Schedule ❑ Financial Guarantee ❑ <br /> Typical Cross-secllons ❑ Elevation Calculation Schedule ❑ <br /> Engineer's Stamp ❑ <br /> Completed By: .0-G p'p Dole: <br /> oppcnlr.rm 3-18-911 <br />