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' r <br /> i <br /> t <br /> j, A�- g3 — 4 '6 <br /> APPLICATION CONTROL SHEET <br /> to ba comploletj ji��nveltipmenl Snrvlce N61f : { .;i:;i s t,;i n. ,> <br /> PtoApp Only: ❑Yos 11 No Foo: ,� nocolpl Numbor: Dole: <br /> Fuo Numbor: L/}—9'3— 4 7 Foo: 4-GD 1locolpl Nurabor: g S S¢ Data:9 117 43 <br /> Filo Numbor: Foo: fiocoipl Numbor: Colo: <br /> Flio NUmI)ar: Foo: Itocalpt Numbor: Colo: <br /> Description of Project L 0'7 C l N E b Iy S?^/lE>,!T' <br /> -'o C/IAI�IGE Ttt6 Au&rrc"+i£n)T of TWO <br /> 7' -9C F�4C�7 /x/o7ztN�ss�iy <br /> 7,d Fx4ST�k/(;st— E>tlStrraG `pA7tcre i3.o x/Et AcZEs' AHI 25./q r1 Er <br /> ?Ro?o5E3 'PazcFu 12.9,7 Acc('r A.-O 2 5. •3 <br /> MoloctLocation• 00 ` Htc— AJOE!JH WE5T CDRti1Frz OfA« -71N6 <br /> AtJ'b 1=AOz-CHIL1) 0AWEST OF G/UI�£ti1. <br /> Addross: 4505 IV5ACk 1aJLIdAb 574Ci<Td41 / C4 52/5 <br /> / ArN(s):O8;1-170-45/46 <br /> Gcnornl Moir Cornimmlly: A/O&/E Gonornl Plan Doslgnntlon: <br /> Zoning Mop: (`Owl Fy wad a Property Zoning: AG,—4d Ovoriny Zono(s): <br /> t <br /> Gcnorni Plan Zoning <br /> A/G A <br /> N <br /> East: r <br /> r� <br /> Went: x <br /> 100•Yonr Flood ❑yy1Yes ter Williamson Act os ❑ No Supervisoilal District: <br /> N /te <br /> Airport <br /> Area: l CS Specllic Pion(s) ❑ Yes E1—No: <br /> 5a -G2-�8 pt�A-16-13q 34/ SA ��-z( t �-��-a� elm <br /> History: L��B$� i L(� i t <br /> M <br /> r. <br /> C) tCKLISt # e �: fi {i s s <br /> . i <br /> All Applications <br /> Completed Appilcnllon Forms alb Owners'Stgnaluie <br /> Copy of Deed or Prollminnry Title Report• ❑-- Copies of Plan or Map C1� <br /> sy;x i I'Reduced plan or Mop d--- I Inzordous Mnlodals Disclosure Survey ❑ <br /> Development Impact Mitigation Foo Form ❑ Assessor and Hlalory Pages <br /> Narnos List• OT- U t 16 1, ❑ Sowor/Wator'WIO Servo'Lollar• ❑ <br /> General Plan Map• ❑ Zoning Map• ❑ <br /> Soils noport• ❑ Solis Sullablllly Study' ❑ <br /> Subsidence Arco ❑ Ycs E'�o Expensive 6011 Aroa t�Yos 13 No <br /> • Tlrcse auterlols may not be iocluired for certain applications. Chock tiro application typo for details. <br /> Tentnilve Maps <br /> Map Slgnod by Owner Traci Numbor and Name(Major Subs only) ❑ <br /> Adjoluing rtoporty Owners Names on Map LI-- All Lots Numbered ❑ <br /> Contour Lincs Locollon of Wolf and Septic System 0— <br /> Excavations <br /> noclmmnllon Plan and Seliedulo ❑ Financial Guarantee ❑ <br /> Typical Cross•socilons 0 Elevation Calculnllon Schodule 0 <br />