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APbLICATION CONTROL SHEET <br /> i:. a :..,:••,. <br /> <' `j:` 7o bo com olod b ovc o a <br /> is•, pl y D I pm n1.Setvico stall .. i.. <br /> PteApp Only: O Yes k14o Foe: nocalpl Number: Dole: <br /> Filo Numbor;�jp—�� Z —(03 Fee: noccipl Number: 21 3�DU Dale; <br /> Filo Number: Foe: nocelpt Number. Dole: <br /> Filo Number: Foo: (lecalpl Numbor: Data: <br /> Description of Projoct `jEGor tp Uf.i 1 r V,>V4 la I-1-1 <br /> Project Location: �—�-(y( F— Gop-,,Irz� OF <br /> '<�100—%T--LUE55T v)= Lo(� <br /> Address: <br /> �C>I . S Z-9y APN(s): 62c3Z5- 2530 ZO <br /> Gnnaal Plan Communily: Genornl Plan Designallon: Pec„(2_1 e—(—IL--t-1{�6 <br /> Zoning Map: — Properly Zoning: A(,— q 0 Overiny Zono(s): <br /> Adjacent General Plan Zoning <br /> 140111): jsc Zy. I`Iu I �l!✓�iJ A G, <br /> South: <br /> East; <br /> West: <br /> 100-Yoor Flood O Yes No Williamson Act ❑ Yes )KNo f Supervisorial District: <br /> Airport Area: r,j��U ,� Specllic Plon(s) ❑ Yes No: <br /> Ftislory: V( <br /> ECC 5 <br /> f-I I I T: <br /> All Appllcallons <br /> Completed Application Forms Owners'Signolwe <br /> Copy of Dead or Preliminary Tllle nepori ' )5� Copies of Plan or Map p <br /> a''/,,x 1l' noducod Plan or Map I-Inzatdous Materials Disclosure Survey ❑ <br /> Development Impact Millgallon Foe Form ❑ Assessor and I-lislory Pages �( <br /> Nornes List ' ❑ Sewer/Woler'Will Serve'Letlor ❑ <br /> General Plan Map ' ❑ Zoning Mop ` ❑ <br /> Solis Report " O Soils Suilobllily Study • p <br /> ' Those molorlols may not be required for certain applicalions. Check the application lype lot details. <br /> Tentative Maps <br /> Map Signed by Owner ❑ T►acl Number and Nome (Major Subs only) ❑ <br /> Sopla O All Lois Nurnbotod ❑ <br /> Conlour Linos ❑ Location of Wall and Septic Syslorn ❑ <br /> Agricultural ilomosllo Form ❑ Adjoining Ptoporly Owners Names on Map O <br /> Excavations <br /> noclamolion Plan and Schodulo ❑ Financial Gumonloo O <br /> Typical Cross-socllons ❑ Elovallon Cnlculallon Schedule O <br /> Engineer's Slarnp ❑ <br /> t <br /> Complolod By; /�T�lG1/� i � Dole: IZ • ( g _ �� <br /> nppcn r . nn - <br />