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APPLICATION CONTROL SHEET be completed 6y beve(opment Sarvloe Natf , �, ,�,'�.:; PreApp Only: ❑Yee ❑ No Fee: Receipt Number: Date: File Number: -�3_0 Fee: / 000 Receipt Number. 053 Date.-2-24-!3 File Number: Fee: W Receipt Number. Date: File Number: Fee: Receipt Number. Date: Description of Project r 2 r Project Location: tN (O�tJ llvek h 6 r / 7 Address:III6F ��Ti l•' •''�2nII dr/ ' 2L M41 Rd 21995 N• e r6', ,,,,,e,//o D0,- .222, l y lLvr�c vak APN(s)n13- : General Plan Community: General Plan Designation: -G Zoning Map: LOd•' Property Zoning: - Overlay Zone(s): Adjacent General Plan Zoning North: A-6 6 South: East: West: 77,,, 100-Year Flood ❑ Yes X NP" Williamson Act X Yes ❑ No Supervisorial District: Airport Area: t✓,)4 ,,� pl',� SpecMc Plan(s) ❑ Yes Cr No: History: —73-8S M 3 ' 3 G� CKLISON All Applications Completed Application Forms W Owners'Signature O� Copy of Deed or Preliminary Title Report• 1;01 Copies of Plan or Map 81/.'x 11'Reduced Plan or Map X Hazardous Materials Disclosure Survey ❑ Development Impact Mitigation Fee Form ❑ Assessor and History Pages Names List• ❑ Sewer/Water' ill Serve'Letter• ❑ General Plan Map• ❑ Zoning Map• ❑ Soils Report• ❑ Soils SuRability Study ❑ Subsidence Area ❑ Yes D No Expansive Sol]Area 1�k Yes ❑ No • These materials may not be required for certain applications. Check the application type for details. Tentative Maps Map Signed by Owner Tract Number and Name(Major Subs only) ❑ Adjoining Property Owners Names on Map All Lots Numbered (9( Contour Lines Location of Well and Septic System Excavations Reclamation Plan and Schedule ❑ Financial Guarantee ❑ Typical Cross-sections ❑ Elevation Calculation Schedule ❑ Engineer's Stamp ❑ Completed By: Dale: appcntr.rm 3-18-91