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APPLICATION CONTROL SHEET <br /> To be completed by Development Service star <br /> rreApp Only: ❑Yes ❑ No Fee. /J L)r Lk1 Receipt Number. d +G Dale: <br /> File Number: `/� - Fee:r�J � Receiof Numoer: l } I Dale I <br /> File Number. Fee: Receipt Number: Date: <br /> File Number: Fee: Receipt Number: Date: <br /> Description of Project c.✓et-}�„n .�A.lx,� f a'(�. y n i 71 n.- \': .c.. iJr �„h..r;1 f� <br /> + <br /> ' —. .Mf^ Vii.'(,,_, i t) 5k.; /7,xv LEr <br /> 0 ,a ke(�! k. I n'�;' GYJc.(c u.,l I L� w�I k ktu•,ne <br /> ✓ev�'� Co'�-rs�rt+.. Qm� x��.(` C'Iu.bfn+.L�..c_ ,lnr.(IA�ily, ylerfit.�.✓r..Lt.S ,(3JtlUetrlCuu S/UJE', <br /> ProjeeI Location: <br /> LI 4b �. -Tr uA <br /> 1 <br /> L <br /> Address: J"..'(' !t•k- ✓-S- Z <br /> APN(s; 0 1 <br /> Q <br /> < - LN <br /> General Plan Community: l e /fi""k,, Genco al Plan Designation: <br /> Zoning Map: - I Property Zoning: .� .�_'4,� Overlay Zone(s): — <br /> Adjacent General Plan I Zoning <br /> North: I ,amu ( ll� I J <br /> South: <br /> Ees:: Ir I II <br /> Wes:: <br /> 100-Year Flood Yes ❑ No Williamson Act ❑ Yes No Supervisorial District: <br /> Airport Area: Specific Plan(s) ❑ Yes No: <br /> History: - J-. d // 3- - <br /> CHECKLIST <br /> All Applications <br /> Completed Application-Forms x1 Owners'Signature r� <br /> Copy of Deed or Preliminary Title Repan' Cir I Cooies of Plan or Map <br /> 8+/•'x 11'Reduced Plan or Map $ ( Hazardous Materials Disclosure Survey D <br /> Development Impact Mitigation Fee Form ❑ I Assessor and History Pages <br /> Names List' I Sewer/Walcr'Will Serve'Lena,' ❑ <br /> General Plan Map• C I Zoning Me;)• C <br /> Soils Report' ❑ Soils Suitability Study' C. <br /> These materials may not be reoxured for certain opolmairons. Check the application Type for details. <br /> Tentative Maps <br /> Mao Signed by Owner D I Tract Number and Name(Major Subs only) ❑ <br /> Sepia ❑ I All Lots Numbered D <br /> Contour Lines ❑ Location of Well and Septic System ❑ <br /> Agricultural Homesbe Form ❑ Adloinino Property Owners Names on Map <br /> Excavations <br /> Reclamation Plan and Schedule ❑ Financial Guarantee ❑ <br /> Typical Cross-sections ❑ Elevation Calculation Schedule ❑ <br /> Engineer's Stamp ❑ <br /> Completed By: SL& t V Date: <br /> appentr.trm •y <br />