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4 <br /> APPLICATION CONTROL SHEET <br /> r .. r .. To be eompleted 6y Dayslopirierrl Sarvloe staff, < L <br /> rt <br /> PreApp Only: ❑Yes No tF <br /> e: Receipt Number. Date: t <br /> i <br /> File Number. p_q _ e: Receipt Number. Date:( _t -9 , <br /> File Number, e: Receipt Number. Dale: t ' <br /> f <br /> File Number. Fee: Receipt Number. Date: <br /> Descrlptlon of Project <br /> Project Location: A r U*y <br /> 6' <br /> Address: i <br /> c <br /> APN(s): <br /> General Plan Community: General Plan Designation: t , <br /> Zoning Map: Property Zoning: Overlay Zone(s): <br /> r: <br /> Adjacent General Plan Zoning ; <br /> North: <br /> f , <br /> South: <br /> East. <br /> West: <br /> 100-Year Flood ❑ Yes ❑ No Williamson Act ❑ Yes ❑ No Supervisorial District: <br /> Airport Area: Specific Plan(s) ❑ Yea ❑ No: <br /> History: <br /> 1 <br /> t,tccc r� <br /> t <br /> r <br /> t .• <br /> All Applications V'' <br /> Completed Application Forms ❑ Owners'Signature ❑ <br /> Copy of Deed or Preliminary Title Report• ❑ Copies of Plan or Map ❑ <br /> 8'/•'x 11'Reduced Plan or Map ❑ Hazardous Materials Disclosure Survey ❑ <br /> t {r <br /> Development Impact Mitigation Fee Form ❑ Assessor and History Pages ❑ !! <br /> Names Ust• ❑ Sewer/Water'1N111 Serve'Letter• ❑ <br /> General Plan Map• ❑ Zoning Map• - ❑ <br /> Soils Report• ❑ Soils Suitability Study• ❑ <br /> i . <br /> Subsidence Area ❑ Yes ❑ No Expensive Soil Area ❑ Yes ❑ No It,- <br /> • These materials may not be required for certain applications. Check the application type for details. \:S�•;_ :; <br /> Tentative Mapsti?' •` .,:.-- <br /> Map Signed by Owner ❑ Tract Number and Name(Major Subs only) ❑ Y�+`•' .;4�'1 z� <br /> Adjoining Property Owners Names on Map ❑ All Lots Numbered ❑ <br /> Contour tinea ❑ Location of Well and Septic System ❑ <br /> Excavations <br /> i i!'•a ji: <br /> Reclamation Plan and Schedule ❑ Financial Guarantee ❑ i <br /> Typical Cross-sections ❑ Elevation Calculation Schedule ❑ <br /> Engineer's Stamp ❑ ••t <br /> Completed By: Date: Is <br /> 1'ice•h. <br /> appcntr.rm <br /> t t'� <br />