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APPLICATION CONTROL SHEET <br /> a: ;>. > To be tompteled'by bavalnpment Seryice*tett Fx <br /> PreApp Only: ❑Yee No Fee: Recelpt Number. Dale: <br /> File Number: Fee: (0 0 Q= Receipt Number. S- Z 2 1) Z <br /> File Number: Fee: Receipt Number: Dale: <br /> File Number: Fee: Receipt Number. Date: <br /> Description of Project 1,,o c .cc.0 <br /> of1� -,�cc <br /> Project Location: C'UC k V e- <br /> r <br /> Address: S, - (~ou S e <br /> APN(s): ZO -()(,C)- I S b I <br /> General Plan Community: General Plan Designation: (- <br /> Zoning Map: Property Zoning: [,_"--YU Overlay Zone(s): <br /> [Adjacent General Plan Zoning (, <br /> North: G C"- `0 <br /> South: Y1(, G--x-(0 <br /> East: 0 <br /> West: (� <br /> i <br /> 100-Year Flood ❑ Yes No Williamson Act -*,Yes ❑ No Supervisorial District: ,5 <br /> Airport Area: Specific Plan(s) ❑ Yes ❑ No: <br /> History: `.( 04 2 <br /> CHECKLIST <br /> AJLAppilcallons / <br /> Completed Application Forms If, Owners'Signature lY <br /> Copy of Deed or Preliminary Title Report• B'/ Copies of Plan or Map <br /> B%'x 11'Reduced Plan or Map Ci-"— Hazardous Materials Disclosure Survey ❑ <br /> Development Impact Mitigation Fee Form ❑ Assessor and History Pages <br /> Names List ❑ Sewer/Waler'Will Serve'Letter• ❑ <br /> General Plan Map• Cl Zoning Map• ❑ <br /> Soils Report' ❑ Soils Suftabilily Study• ❑ <br /> Subsidence Area ❑ Yes No Expansive Soil Area Cl Yes 0,,-No <br /> • These materials may not be required for certain applications. Check the application type for details. <br /> Tentative Maps <br /> Map Signed by Owner ❑ Tract Number and Name(Major Subs only) ❑ <br /> Adjoining Property Owners Names on Map ❑ All Lots Numbered ❑ <br /> Contour Lines ❑ Location of Well and Septic System ❑ <br /> Excavation* <br /> Reclamation Plan and Schedule ❑ Financial Guarantee ❑ <br /> Typical Cross-sectlons ❑ Elevation Calculation Schedule Cl <br /> Engineer's Stamp ❑ <br /> Completed By: Date: <br /> appcntr.rm 3-111-01- 1 <br />