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APPLICATION CONTROL SHEET <br /> t >a7 ra els tr a \t c ` al ", . ix 3 ; `411.14j : <br /> :s3 �3 I�,� i r� £ s t)I•a I ld 6a coin�rlole���t;�nreldtlSbIV�C6 ilUll «:�,v€�1.i., 1 �£ts.,r;•Y{r £t�::�:t <br /> � 3yr, Y.,;;; y <br /> P1oApp Only: ❑Yos ❑ Ne roe: Ilocolpl Numbol: Dole: <br /> rllo Nurnbol:lwS-�3- 1 roe: /3g,�' til ,Numbor: �O �9 Dnlo: /U�S4 <br /> rile Nunrbor: roe: Ilocolpl Number: Dole: <br /> ruo Nunrbor: roe: Ilocolpl Numbor: Dole: <br /> Doscrlpllon of project N1l tut<YL s�113 F�\Vlsl WJ �s°�I GA t1 orJ 'j1� S �V>C.� <br /> A I I2r � � ISA sG�L- \ > `TI-(C(t%E eiVE-13. PAe'-G,r`- <br /> j U 2 '-N c-cffv" 7-1 <br /> APtD <br /> Plojncl Location: O -1 \E 3T SIrJ�S- CSF Gi- -V lL"1�c LIQ 'sr` <br /> N aLT�t U� L13l2JYjf F�IlYlilt U= I.UQr <br /> Address: <br /> APtJ(e): <br /> 00110101 1'1011 Co11ununlly: -----'--- Gonoml Plan Designation: &,(c, U5 1.2 <br /> Zoning Map: Psop011y Z011111g: /SSG ov ollny Zono(s): <br /> Adjacent —- Gcnmal Plnn Zoning <br /> South; <br /> Enst: <br /> west: _ <br /> WIIIInsen Act ❑ Yes Flo I Suporvlsollol DIs111c1: <br /> 100-Yent rlood ❑ yes \;41 lnL} <br /> AI1pod Alen: �� Speclllc Plon(s) ❑ Yes Flo: <br /> Ilstoly: <br /> ...<aac>:,<.,r.3i:i>r.;;::.... ;;:,<:,. :-l.... ..p:i.,.. ink...;:�s.¢<<: ...<:•.:'#:.. M;;.�s: �,.. <br /> :a. ? :t �:-'c£Y. <br /> All Applications <br /> Conlplotod Application rmms Owners'Slgnaluro <br /> Copy of Dood or Prellndn0ly 7III0 rlepoll' `fr Copies of plan or Mop <br /> DY.'x I I'noducod plan or Mop 'j- I lazardous Mnlodols Dlsclosuro Survey '❑ <br /> Dovolapment Impact Mltigauon roe roan ❑ Assessor and I Ilolory Pages Rh <br /> Names List• -A!(- Sowor/Wotor'Will Seive Letter• ❑ <br /> Gonornl Plan Map• ❑ Zoning Mop• 0 <br /> Solis floport• 1] Solis Suitability Study• U <br /> 1 Subsidence A10n ❑ Yes 411,11a Expensive Boll Am Yos ❑ No <br /> • lhcoo nrntellals may not be loctulied fol codnb1 npplicniions. Chock the application typo lot dolnlls. <br /> Tentative Maps <br /> Map Signed by Owner ❑ Trocl Number and Nnmo(Mnjor Subs only) ❑ <br /> Adjel11ing Propolty Owners Nnnlcs on Map All Lots Numbolod <br /> Coelom Lines Location of Wall and SOpllo Syslont T3 <br /> Excavations <br /> flocimnntlori Pion and Schedule ❑ rhmnclM Gumonioo 0 <br /> 1 Typical C1oss•oocllons ❑ Elevation Cniculnilon Schodulo 13 <br /> Englnoci's Stamp ❑ <br /> completed Dy: 1),." c", 'ZZ --- — - onto: - i pl (bkI3 <br />