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t <br /> APPLICATION CONTROL SHEET <br /> s <br /> To be completed tiy'Davis opment ServiCw staff <br /> �,I \ <br /> PreA On / j <br /> pp N: ❑Yes Q No Fee: Receipt Number. Date: r <br /> File Number. f`.q Z-'7-Z� Fee: j30 `� Receipt Number. 3 r'(y Date: <br /> I <br /> File Number. Fee: Receipt Number. Date: !' <br /> File Number. Fee: Receipt Number. Date: <br /> ( <br /> Description of Project <br /> � 119 neit e 12a, L <br /> i <br /> F <br /> I <br /> I Ar- <br /> Project Location: O1tw e-.54 0110 111A7V Krj G 2- <br /> IV <br /> �. <br /> O 0 n <br /> I. <br /> v <br /> t <br /> Address: `Z H (of y <br /> APN(s): v 07 ZYO-c10 .b cy <br /> I <br /> General Plan Community: General Plan Designation: /L <br /> Zoning Map: L ( r Property Zoning: L�S� Overlay Zone(s): t• <br /> Adjacent General Plan Zoning ,.1 <br /> North: NIL /I L -5 i <br /> South: ` L i <br /> East: <br /> West: <br /> 4/ <br /> i <br /> 100-Year flood [I Yes No Williamson Act ❑ Yes �No Supervisorial District: / ' <br /> Airport Area: N 0 1.- Specific Plan(s) ❑ Yes JV No: +. <br /> History: <br /> CHECKLIST; <br /> All Applications <br /> i <br /> Completed Application Forms Q-/ Owners'Signature ❑/ -� + <br /> t <br /> Copy of Deed or Preliminary Title Report• D)-.- Copies of Plan or Map 14_� <br /> 8'/.'x 11'Reduced Plan or Map 131 Hazardous Materials Disclosure Survey ❑/ <br /> Development Impact Mitigation Fee Form ❑ Assessor and History Pages <br /> Names List• a-� Sewer Nater Wil Serve'Letter• ❑ ` <br /> General Plan Map• ❑ Zoning Map• ❑ <br /> Soils Report• D Soils Suitability Study• _ �❑ <br /> Subsidence Area ❑ Yes calo Expensive Soil Area ❑ Yes <br /> • These materials may not be required for certain applications. Check the application type for details, j. <br /> t <br /> Tentative Maps r <br /> - 2 <br /> Map Signed by Owner 0/ Tract Number and Nam*(Major Subs only) O (' <br /> Adjoining Property Owners Names on Map ty All Lots Numbered <br /> Contour Lines cr-11 <br /> Location of Well and Septic System m/ j <br /> Excavatkmw # .. . <br /> Reclamation Plan and Schedule ❑ Financial Guarantee ❑ <br /> Typical Cross-sections ❑ Elevation Calculation Schedule ❑ <br /> Engineer's Stamp ❑ <br /> Completed By: �• Date:�(lr -2�l^ <br /> appcntr.rm 3-19-91 <br />