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i APPLICATION CONTROL SHEET r <br /> to be completed byDevelopment Seivks staff':" `� `,;; <br /> '. PrsApp Only: es ❑ No Fee: 7 Receipt Number. <br /> Date:�Q•9- <br /> Flle Number. 6P-92-0YY3 Fee: Receipt Number. Date: \ <br /> File Number. Fee: Receipt Number. Dale: <br /> File Number. Fee: Receipt Number. Date: <br /> Description of Project( e _ Gdr le46 A141 e.CZ X6 T <br /> l <br /> { <br /> Project Location: <br /> Address: 24 201 q //\\ <br /> APN(s):209-�/a—�6 <br /> General Plan Community: General Plan Designation: GG a ed-V <br /> i <br /> Zoning Map: T c — Property Zoning: Overlay Zone(s): <br /> Adjacent General Plan Zoning <br /> North: cy— <br /> South: <br /> East: <br /> West: <br /> 100-Year Flood ❑ Yes No7Williamson Act ❑ Yea 0 No Supervisorial District. s <br /> Airport Area: Specific Plan(s) ❑ Yee ❑ No: <br /> History: <br /> CHECKUST <br /> All Applications <br /> Completed Application Forme Cr Owners'Signature ❑ <br /> Copy of Deed or Preliminary Title Report• Gr Copies of Plan or Map I <br /> _ I <br /> 814'x 11•Reduced Plan or Map ❑ Hazardous Materials Disclosure Survey ❑ <br /> S <br /> Development Impact Mitigation Fee Form ❑ Assessor and History Pages <br /> Names List• ❑ Sewer/Water'W it Serve'Letter• ❑ <br /> General Plan Map• ❑ Zoning Map• ❑ <br /> Soils Report• ❑ Soils Suitability Study ❑ <br /> Subsidence Area ❑ Yes No Expensive Soil Area ❑ Yes ❑ No <br /> • These materials may not be required for certain applications. Check the application type for details. 4I4 <br /> I <br /> Tentative Maps + <br /> Map Signed by Owner ❑ Tract Number and Name(Major Subs only) ❑ <br /> Adjoining Property Owners Names on Map ❑ All Lots Numbered ❑ t ' <br /> Contour Lines ❑ Location of Well and Septic System ❑ <br /> Excavations <br /> Reclamation Plan and Schedule ❑ Financial Guarantee ❑ <br /> Typical Cross-sections ❑ Elevation Calculation Schedule ❑ l' <br /> Engineer's Stamp ❑ I <br /> Completed By: Date: <br /> appcntr.rm _ <br /> r <br /> I <br />