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APPLICATION CONTROL SHEET <br /> To ha.camploled by brivelopmont Sifrv) o rlalf:: <br /> FiloDFoo: iocviot Numbar28�rS <br /> Description of Pro)act S��p✓1 (� tT (,J��t/J <br /> Pto)nctLocnilon: t)RA�lte �jJLC, (JIa suTLIF r�-JE. <br /> ���z �SCPLayt <br /> Ld r <br /> ,\ddrear.: 3 po q 2 � A v <br /> APN(s): <br /> ❑cnarni f Inn Community: General I fan Dcsignntlon: <br /> Zoning Moo: Property Zoning: A —1 tO Cvorfny Zono(s): <br /> 100•Yonr Flood Cl Yca ❑L)46 I 'Nllllnm:on Act ❑ Yas QTIa 1 Suparvisorinl Clsftict: s <br /> Vrport Arco: I Spcciflc Ptnn(.) ❑ Ye3 t-Qo: <br /> I Ilstory; <br /> • c�tE�r�usr <br /> All Appllcntlans <br /> Compialcd Application Farms Cwncrs' Signature <br /> Corry of Occd or Proilminnry Title fTcpott ' Q Copies at Plan or Map Q <br /> 9%.x 11*rlodUcod Mon or Mop Q 1 lazardous Matarials Disclosure Stuvay Q <br /> Davelopment Impact Mitigation Fav Form C3Aszas3ar and Mstory Papas ❑ <br /> lanma•s Ust ' ❑ Sawer/Watar"MU Sdrvo'Latlar • Q <br /> General Pirtn Map ' Q Zoning Map • Q <br /> Soils Fioport • Q Soils Sultabilily Study' ❑ <br /> SUbsidrnca Arca Q Yes No Expansive Sell Mos Yn Q No <br /> ' Thera mn(crials may not be ragvlrcti far ccrtatn appifcedorts_ Check the appilcntfan type far dataits, <br /> ComTtlnted Oy. Oat= / <br /> nppcntt_rrn 9 �' <br />