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APPLICATION CONTROL SHEET <br /> �. ..:. � s i POO x. <br /> camplo)e�„by boli tnont Sbrvlceal6( <br /> f roApp Only: O Yos O No Fee: nocolpl Number: Dole: <br /> Filo Nurnbor: MS -c( 3- ZCU Fee: )3Z o flocolpt Number: 2'S Dole:f3(Z3h7 <br /> Filo Number: foo: �acolpl Number: Dole: <br /> Filo Number: Foo: flocolpt Number: Dole: <br /> Doscrlptlon of Project i\- NA t N/LSY'- S�3v)r\A t t cnJ A�PPU Lr-fi 9,\A <br /> �� G3+ > Pn n til r r m� � C3 ) Po,2r3 • P� I <br /> 2 r[l, Gc, mh,r.r 1 o n-c,�sJ &,.o A Gs✓a-rE O Rte M N►ar^ <br /> Ge= 43 <br /> _ r <br /> Project Location: -TYtC WET 5 t �� /��i�SNS r1Lfd-� t v <br /> 5 <br /> Addross: ZI SZ�I �-1�4w/S t2Jp.p <br /> C��M Ga C :;2-L,7 APN(s): Otti- ISo z� <br /> Genorol Moir Comrnunlly: Gommml Plan Designation: G <br /> Zoning Mnp:lc z1.,,*-GLsvr.alC( Property Zoning: �G. yv Ovoriny Zone(s): <br /> Adjnconl Genoml Pian Zoning <br /> North: �/6 b,&- -td <br /> u <br /> South: t <br /> East: A f4L l U <br /> West: <br /> 100•Yonr Flood O Yes O No Williamson Act KYas ❑ No I Suporvisonlol Dislrlcl: 4 <br /> Airport Alen: UU)r Speclllc Plnn(s) ❑ Yes No: <br /> Ilislory: <br /> CF ECKLISt <br /> All Applications <br /> Completed Application Forms 12(l Owners'Signature <br /> Copy of Decd or Proilminnry Tllla neport• . Copies of Plan or Map <br /> e%x I I'noducod Plan or Map I lunidous Mnlodals Disclosure Survey �O <br /> Development Impact Mitigation Foo Form O Assessor and History Pages ys— <br /> Namos List ❑ Sowar/Wolor'Will Servo'Letter• ❑ <br /> General Plan Mop <br /> ❑ Zoning Map' O <br /> Soils noport• O Soils Suitability Study• ❑ <br /> Subsidence Arco ❑ Yes No Exponsivo Soll Area ❑ Yes No <br /> These rnnicrials may not be rociubcd for ccnlnln applicnllans. Chock tiro application typo for details. <br /> TeWntivo Maps <br /> Map Signed by Owner O Tinct Number and Name(Major Subs only) ❑ <br /> Adjoining Property Owners Names on Map CY All Lois Numbered g� <br /> Contour Lines JC� Location of Wali and Septic System q <br /> Excavnllons <br /> tloclmmnllon Plan and Schedule ❑ Financial Guarantee ❑ <br /> Typical Cross-socllons O Elevation Calculation Schedule ❑ <br /> Fnginaer's S1nmp ❑ <br /> - ,a Ty I A -r”to----- -- I Data: r0�2 T l53 <br />