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' t <br /> APPLICATION CONTROL SHEET <br /> lea bn conr(ilb�etls bnvelnptnonl s�nvice ra181 <br /> = <br /> ::..:.;•:.•:. . s <br /> rroApp Only: ❑Yes tl No Foo: Ilocelpl Number: Dale: <br /> w <br /> rIlo Numbor; 5�_`i"?,-- �("Z roe: "�� tlocolpl Number: C15f lam( Date.C� ltolC{j <br /> rllo Number: roe: tlocoipl Numbor. Data: <br /> rllo Number: rno: tlocolpl Number: Dnlo: <br /> Doscripllon of rrolect j`Z�.�j� U.v�r /�2�I rpt J-c_' --A <br /> 11tolocl l_ocnllon: --Ccs ef<j1CV— (-F- N-4 ryt--k VCJ5(.A <br /> TLvrk l 5i�r 1 A A /h/�1.1J� S� y>tSt' OV, <br /> -------------------------- <br /> C A Ct�2 c � ArN(s): <br /> Clenoml drill Conununlly: 5�kD� t--z>-jv— ---- Gonornl Men Doslgnnllon: �I-- <br /> Zoning Mnp: S rroperty Zoning: L-S Ovoriny Zono(s): <br /> Adlncenl aeenornl rinn Zoning <br /> Nadir: f�/(, AG <4 V <br /> Soulh: / lr L'S <br /> West: (f— QL-G <br /> 100-Yon, Flood ❑ Yes V0,10 Wlllimnson Act ❑ Yes 1410l Suporvlso,lol Dlsl,lcl: <br /> Ali poi t Aren: {wrJlf Specific rinn(s) ❑ Yes No: <br /> Ilslory: U--7 1- -7 4 7- <br /> M. <br /> All Appllcnllons <br /> Completed Appllcnlion Forms Owners'Signaturo ` <br /> Copy of Dned or rrollnrinnry Title deport Copies of Plan or Mnp ❑ <br /> 0'/�x 1 I'tloddcod rinn or Mnp ❑ 1 Inzardous Mnlorlals Disclosure Survey ❑ <br /> Development Impncl Milignllon Foo roan ❑ Assessor and history ragas <br /> Nmnes List• ❑ Sower/Wntor'Will Servo'Letter• ❑ <br /> Gonornl Plan Mop " ❑ Zoning Mnp " Cl <br /> Solis Ilnporl " ❑ Soils Suitability Study • ❑ <br /> Subsldmica Aren ❑ Yes r4o Expowilve Soil Area Y-"Y(39 ❑ No <br /> " these nmIcHnls rnny riot be ioqulred lot cefthi npplicnlions. Chock the appllenllon typo for details. <br /> Tenlnllve Mnps <br /> Mnp^Ignod by Owner ❑ Trocl Number and Noma (Mnlor Subs only) ❑ <br /> Adlolning Properly Owners Nnmes on Mnp ❑ All Lob Numbered ❑ <br /> Conlour hies ❑ Locnllort of Well and Sopllo System d <br /> Exenvnllono <br /> tloclrtnnllon rinn and Scheduln ❑ rinonclnl Gunrnnloo ❑ <br /> Typical Cross-socllons ❑ Elovnllorr Cnlculnlion Schedule ❑ <br /> Englnoei's Stmnp ❑ <br /> Complo10d Ely: �c.wl I PIP- bola: el ' Ilo(`13 <br /> nppcnlr . nn - <br />