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i <br /> i <br /> APPLICATION CONTROL SHEET <br /> completed by Development Service staff '? x. <br /> PreApp Only: ❑Yes ❑ No Fee: Recelpt Number. Date: <br /> File Number.J- _ D92 Fee: 445 Receipt Number. D3765 Dete:�'- <br /> FIIe Number. Fee: Recelpt Number: Date: <br /> File Number. Fee: Receipt Number. Date: <br /> Description of Project L r,15 r• <br /> n/9.5-'7 <br /> P <br /> Y comes. <br /> Project Location:O k. <br /> ov se,51 6 L L o),' <br /> Address:17979 N.Gui lAy, Lodi 17809 N. G,4,.IJ L <br /> APN(s):04 -060 <br /> General Plan Community! L-- r General Plan Designation:/A r' ' <br /> Zoning Map: Property Zoning: — V Overlay Zone(s): <br /> Adjacent General Plan Zoning <br /> North: I AU - 2D <br /> South: —L <br /> East ' <br /> West C l Loral oJi, <br /> A Year Flood ❑ Yes 12 No Ze+e,O Williamson Act ❑ Yea No Supervisorlal District: <br /> M,r cr,f,l Airport Area: SQ <br /> Plan(s) ❑ Yea No: <br /> hy)1 History:s4Yf 27-52 Ju r #22-111 .. <br /> �rdp�j CHECKLIST;. <br /> All Applications <br /> Completed Application Forma I Owners'Signature <br /> Copy of Deed or Preliminary Title Report 17Copies of Plan or Map <br /> 81/6'x i i'Reduced Plan or Map F Hazardous Materials Disclosure Survey ❑ <br /> Development Impact Mitigation Fee Form ❑ Assessor and History Pages 15 <br /> Names List• ❑ Sewer/Water'Will Serve'Letter• ❑ <br /> General Plan Map• ❑ Zoning Map• ❑ <br /> Soils Report• ❑ Soils Suitability Study• ❑ <br /> Subsidence Area ❑ Yes C)Cjdo - Expansive Soil Area ❑ Yes No <br /> • These materials may not be required for certain applications. Check the application type for details. <br /> Tentative Maps <br /> Map Signed by Owner Tract Number and Name(Major Subs only) ❑ t - <br /> Adjoining Property Owners Names on Map t5C All Lots Numbered <br /> Contour Lines ❑ Location of Well and Septic System �4 L <br /> Excavations I <br /> Reclamation Plan and Schedule ❑ Financial Guarantee O <br /> Typical Cross-sections ❑ Elevation Calculation Schedule ❑ i <br /> Engineer's Stamp ❑ <br /> Completed By: QF <br /> Dale: 1 1 J 92 <br /> appcntr m 3-18-01 <br /> I <br />