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w � <br /> APPLICATION CONTROL SHEET <br /> .......... ....._ ....... . ... ..... .. <br /> n eln mo tt:Snw ce Nnft>� . <br /> ;. 7o ba,comptoied by b.:v P :;.;r ,.. . . :,:,...•:.::fit><::'>:'<>:..:>°. :..�: <br /> ProApp Only: ❑Yes ❑ No Foo: nocolpt Number: Data: <br /> <A)Filo Number; S)-'ct-3-�QS roe: %356. — nocolpt Number: 3 Dato: (U '� q <br /> Filo Number: roe: nocolpl Number: Data: <br /> Filo Numbor: roe: flocelpl Number: Data: <br /> Description of Project t mak./!/) wi r-r cue-L4 Nz- (�t(C�/c£f f ��J <br /> Project Location: 0111-1 /}{mac /J CKZ i N- e,(at; UP Ji+i4y,,,t- <br /> f2 c.f-19 ilju! C 71-f <br /> C7 (�X«2rcot� <br /> Address: 1AV <br /> �Z A r�t�0 CGl S 2 ZU APN(s): <br /> General Pinn Community: General Pion Designntlon: rr <br /> Zoning Mnp: Property Zoning: Ovoriny Zono(s): <br /> Adjacent General Pion Zoning <br /> North: A//L- A L ' S <br /> South: It <br /> Enst: r, <br /> West: a r' <br /> 100-Your rlood ❑ Yes C�-No Wlliiornson Act ❑ Yes (:�,No I Supervisorlal District.- <br /> Airport <br /> istrict:Airport Arco: KJcJ^^� Specllic Plan(s) ❑ Yes j2(-No: <br /> History: ILIji jr. <br /> <; CHECKLIST <br /> All Applications <br /> Completed Application corms ` Owners'Signature <br /> Copy of Deed or Preliminary Title Report" Copies of Plnn or Mop <br /> 0'/a'x 11'noducod Pinn or Mnp hazardous Materials Disclosure Survey ❑ <br /> Development Impact Miligntion Foo rorm ❑ Assessor and history Pngos ❑ <br /> Names List" ❑ Sower/Water'Will Servo'Letter• ❑ <br /> Genornl Plnn Mnp " ❑ Zoning Mnp" ❑ <br /> Solis floport" O Soils Suitability Study" ❑ <br /> Subsidence Area ❑ Yes ❑ No I Expansive Soil Area ❑ Yes ❑ No <br /> " 7haso materials mny not be required for cortnin opplicolions. Check tho appilcotion typo for details. <br /> Tentntivo Maps <br /> Mop Signed by Owner ❑ Tract Number and Name (Major Subs only) ❑ <br /> Adjoining Proporly Owners Names on Mnp ❑ All Lots Numbered ❑ <br /> Contour Lines ❑ Location of Well and Septic System ❑ <br /> Excavations <br /> ftocimmnlion Pion and Schedule ❑ Financini Gunranloe ❑ <br /> Typlcnl Cross-socilons ❑ Elevation Cniculntion Schedule ❑ <br /> Engineer's Sinmp 0 <br /> Completed By: Lw Of, (A- -Dt2/u--- Onto: J de)j t -3 <br /> oppcntr .nn - <br />