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APPLICATION CONTROL SHEET <br /> o bn corTrple�et) Sy bnvelapmonl Snrv�ce i16tf <br /> ^ i <br /> Date: <br /> rroApp Orly: O nocolt Numbor:Yos O No Foo: P <br /> Dole: <br /> �j w Numbor:Numbor: Z (J- Y3 Foo: q,(00, nocolpt NumboU <br /> filo Numbor: <br /> Foo: nocolpt Numbor: Dole: <br /> Filo Numbor: <br /> foo: nocolpt Numbor: onto: <br /> ,,,��(�vII A-DJj s r <br /> oascrlPllon of rroJacl � tor `(I✓� /� JS 7�'t�ST-l'T� <br /> G /rvi' (3�tUf t TSD 4722 � c- <br /> rroJoct Locnllon: !/rJ 7,'f Pz C¢ L'vJ ��_ feUAV <br /> OF 771E <br /> N vvtTI& (� T}tu�rrtIrl <br /> Addwis: <br /> 7Nv/�Ty'jt'r-T� Cak ArN(s): Ou(—Z(v w`f <br /> Gemini rinn Comrnunlly: <br /> Gonornl tion Dosfgnnllon: /'�, <br /> 7oning Map: '11-tr�ry�I� <br /> Property Zoning: _ p Ovoriny Zono(s). <br /> Adtnconl <br /> Gcnornf rinn Zoning <br /> ' <br /> O S�2c_ AG-`fes <br /> North: <br /> South: <br /> Lr w <br /> Urr 0S <br /> rf <br /> too•Yonr Flood �Ycs O Flo �! <br /> Wlllinrnsorr Act O Yes Suparvlsorlol District: <br /> � <br /> Airport Arco: Specific rinn(s) O Yes Fd-No: <br /> Illslory• S(�,85� <br /> :.:.:...:...:...:... ..:.... <br /> C11ctcLl5t <br /> All Applications <br /> Completed Appllcollon forms <br /> Owners'Signature <br /> Copy of Deed or rrollmintrry 71110 ncporl' Copies of rinn or Mop <br /> 0'/,x 1I•nadrJcad tion or Mop I lazordous Mnlorlols olsclosuro Survey i] <br /> oavolopmont Impact Milignllon Foo Forrn d <br /> Assessor and Illslory rapes <br /> p SoworJWater'Will Servo'Letter <br /> fJornos List <br /> Gonornl tion MOP <br /> O Zoning MOP " U <br /> d <br /> Soils naportSolis Sullobility Study' a <br /> ' <br /> 5ubsldoneo Arca O Yes No Expnnslvo Sell Aroa No <br /> d <br /> Yos <br /> Tlwso rrrntcrlals finny not bo required for corinln npplicnllons. Chock Ilio application typo for dolnlls. <br /> Terrintive Mnps <br /> Mop Signed by Owner O Trocl Numbor and Nome (MnJor Subs only) <br /> AdJolning rroporly Ownero Idnmcs on Mn p O <br /> All Lots Nurnborod <br /> Contour Llncs 0 Loentlon of Well and Septic System C7L <br />