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APkICATION CONTROL SHEET <br /> To ba cornplolod by Dov elopmoitl.Servlco �Infl <br /> IP reApp Only: ❑Yes ❑ No Foe: nocolpl lNumber. Dole: <br /> ilo f4urttbor;6D — 9a—7� Foo:�l�s floceipl f4urrtbor: a )? Dnlo:)� ( —g f <br /> Filo Number: Foo: nocelpt Number: Dale: <br /> Filo Number. Foo: necelpl Number: Dale: <br /> Description of Project Q � <br /> Al, <br /> Project Location: <br /> Address: 4�j <br /> ('--( __j APN(s):a 3-4��-0�/ <br /> General Plan Community: Genornl Plan Dcsignallow <br /> Zoning Mop: 17 Properly Zoning: <_ (1v Overlay one(s): <br /> Adjacent General Plan Zoning <br /> 1401111: <br /> South: <br /> East: <br /> West: <br /> 1 DD-Year Flood Yes D No of Z(o Williamson Act D Yes T,No I Supervisorial District: CJ <br /> Airport Area: Specific Plan(s) D Yes Jo: <br /> I listory: A x.-/_,3-2- Is <br /> :.CHECKLIST.'.:: <br /> All Applications <br /> Comploted Application Forms Owners'Signature <br /> Copy of Dead or Praliminnry Title heporl ' E� Copies of Plan of Map <br /> 0'/,'x 11' noducod Plan or Map D 1lnznrdous Malednls Disclosure Survey ❑ <br /> Doveloprnenl Impact Miligallon Foe Form O Assessor and History Pages <br /> Names Lis[ ' D Sewer/Water 'Will Serve' Lefler ' D <br /> General Plan Map " ❑ Zoning Mop " p <br /> Soils Report " ❑ Soils Suitability Study • D <br /> ' These moledals may not be required for certain npplicalions. Check the application type for details. <br /> Tentative Maps <br /> Map Signed by Owner D Tied Number and Noma (Major Subs only) D <br /> Sepia ❑ All Lots Nurnboted D <br /> Contour Linos D Location of Wall and Septic System ❑ <br /> Agricultural I lomosho Form D Adjoining Properly Owners Nnlnos on Map D <br /> ExcavOlons <br /> Iloclamallon Plan and Schodulo D Financial Gunronloo D <br /> Typical Cross-socilons D Elevation Calculation Schodulo D <br /> Enginoor's Stamp ❑ <br /> Complolod By: Data: ff 7 —Q <br /> nppert r .M-175,1 <br />