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APIaLICATION CONTROL SHEET <br /> :..t(: 4j' � ;t?; z' To bo complolod by Do <br /> 41, clnll .. 'i .• <br /> PtoApp Only: ❑Yos %o- � Foe: x7 flocolpl Numbor: Dole: <br /> Fee: nocipt Iumbc ' 6- 7 Dille:Filo Number: <br /> Fllo Numbor: Foo: nocelpl Number: Dole: <br /> i Filo Number: Foo: necolpl Number: Date: <br /> Descrlpllon of Project 1 U k .-1 c1 /! <br /> I: <br /> C , <br /> r <br /> Project Locollon: 11 mar PCG 0(7- 1 -17 ^� 1�Yq Zi) �- <br /> i <br /> t I.S ,4'7 <br /> I <br /> Address: L 1 �,('' t--'t-o A c, <br /> APN(s): p - 0-'/0 <br /> General Plan Cominunlly; Gcnornl Plan Deslgnnllon: Ae� y—t<-Lt C 1 r_I F-C- <br /> Zoning Mop: (A - Properly Zoning: A L; -y C, Overloy Zono(s): <br /> Adlncenl Gencrnl Plan Zon•tg <br /> North: A L--r(=1 c:-u z 0 <br /> South: Ir-r-tr;'AI C-: f\L-- /f\c:► t c.ut i�r(: �� -(c��/ A 1 c7 <br /> Easl: ^Gr'r Gy L- T-L( g='L A 0 <br /> Wcsl: ,a 6,12-1 `Lr L 7ZI1'-c A C <br /> 100-Your Flood ❑ Yes 1•10 Williamson Ad ❑ Yes ,13( No Supervlsodol District: <br /> Altporl Arca: p Specllic Plans) ❑ Yes JR No: <br /> Iislory: <br /> All Applicnllons <br /> Completed Applicollon Fonds ! Owners'Slgnalure <br /> Copy ol,Deed or Pralinrlrtory Tllle. neporl ' Copies of Plan or Mop p <br /> 0'h' x 11' noducod Plan or Map )3. I lainrdous Mnlerinis Disclosure Survey ❑ <br /> Daveloprnonl(mpuel Mitigation roc Form ❑ Assessor and I Iislory Pages �Q <br /> Names Llsl ' ❑ Sewer/Wolcr'Will Serve'Lellor " ❑ <br /> General Plan Map " ❑ Zoning Mop ' ❑ <br /> Soils neporl • ❑ Soils Sullobllily 51udy • ❑ <br /> ' Thoso maiorlois may not be roclulrod Ior cerloin applications. Check the opplicnllon lype lot details, <br /> Tcnlallve Maps <br /> Map Signed by Owner ❑ Ttncl Number and Nome (Motor Subs only) ❑ <br /> Septa ❑ All Lois Numborod ❑ <br /> Contour Linos ❑ Locnllon of Wall and Septic Systorn ❑ <br /> Agrlcullural I lomosho Forrn ❑ 1 Adjoining Properly Owners Names on Mop ❑ <br /> Excavallonc <br /> nociomallon Plan and Schodulo ❑ Finnnclol Gunrenloe ❑ <br /> 7yplcnl Cross-socllons ❑ Elovallon Cnlculnlion Schodulo ❑ <br /> a <br /> Engineer's Slump ❑ <br /> Complolod By: TT- Dale: (moi M ri> f) ' <br /> r <br /> v nppcnr . iM <br />