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APPLICATION CONTROL SHEET <br /> Tobe completed by bnvelopmonl Soryco rrttilf <br /> Filo Number —01 Foo: 3 j s nocoipt Number. ' I Data: <br /> Doscrlpflon of Pro)oct Se Co a( =':9-fin s 1,�" t',• " <br /> fief nct Locnflon• So { S,iii (j[c c Y 0 G 4 o <br /> Sfetti �g�� R^D ras4 of fzs (e <br /> Acidia!)a: 277 a OCf-� ec 2 <br /> APN(s): 'L c7 <br /> Ocnornl r Inn Comrnunily: Genornl Men DcsIgnntlon: <br /> Zoning Mno: Property Zoning: L-)U Ovariny Zono(s): <br /> 100•Yonr Flood ❑ Yes ❑ No Wlllinmson Act ❑ 'fes 2-No I Suparvlsorinl ❑Islrlct: <br /> Alrporl Arcn• Specific 11Inn(s) ❑ Ycs ❑ No: <br /> i Ifslory: <br /> .. s <br /> :.CHECKLIST R <br /> All Applicntloni <br /> Compinicd Application Forms Owners' Signature B� <br /> Copy of Deed or r'roilmfnnry Title deport �,, Copies of Plan or Map <br /> 81/,'x 1 V flodUcad Pinn or Mnp ❑ I inzardous Molarlols 01scfosuro Survey ❑ <br /> Development Impnct Miligallon Foo Form ❑ Assessor and 1-11story Pages ❑ <br /> I•inmos Ust ' ❑ Sower/Wator Will Servo' Letter • ❑ <br /> General Pinn Mop • ❑ Zoning Map • ❑ <br /> Solis rloport ' ❑ Soils Suitability Study ' ❑ <br /> Subnldenco Arcn ❑ Yes Expansive Soil Area ❑ Yes No <br /> • Theso mnterinis may not be required for certain applications. Chock the appllcauon type for details. _ <br /> Compfotod Dy: Dole: <br /> eppcntr .rrn <br />