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APPLICATION CONTROL SHEET <br /> t• 'g s � .i: � -::. <br /> bacomple(ecfby„bave)opnienl.SaWs1b11 <br /> i <br /> r'roApp Only: ❑Yes ❑ No Foo: nocolpt Number: Dole: <br /> W <br /> Filo Number: (Uq Fee: 13e)UrlocaiptNumber: Dole: rdz5k3 <br /> Fila Number: Foo: rloccipt Number: Onto: <br /> Flio Number: Foo: rlocolpl Number. Dole: <br /> Doscrlptioi,of r'ro)oct /S M u oj,-ti rya Aa(zj } LC AncxJ <br /> Sc.yf,0%vtY9,� N t-4-1- T-Jcl ele-0. P ctL <br /> Tv cam, �Ta v3 o at,L� p., ,� G� 3�Crt� 12--m”(2,,-r,.- -w <br /> Gear lw1 �U /�L✓C:'� ✓�.>T�r.�cr Tt�ur,�r,v>=. 7�,2,-r, <br /> Project Locnllon: U(J -ltd ^IUYLTK S kCrZ C;f� 91:CT N�f 2 U»O. <br /> W;C- Ce 12 a.-Ma IBJ o-%.nA T (�A-- Mtn jj <br /> Addroos: C6 rj w• �EI-A4r 0,i.!1 2vtap <br /> rTl2 a Ca <br /> -5-2,7�- IAM(n): Zea- 31 cD-z9 <br /> Ocnorel Plan Communlly; Gomm�i man Dosignntlon: ��- <br /> 7.011111(1 Mnp: f loperty zoning: Pc(?•c}o Ovoriny Zono(s): <br /> Ad)ncont Gcnernlrinn ) Zoning <br /> Nor if r: Al(r V 5 R—C- s`�/ <br /> 6. 4a <br /> Soulh: /(f A qb <br /> [nsi: (T �j-�4 0 <br /> Wont: A& yo <br /> 100 Yonr Flood Yes ❑ No Wllllmnson Act Yes ❑ No I Suporvisorinl Dlslrlcl: S <br /> Airport Aren: N C)K/c Specific r Inn(s) ❑ Yes 10�No: <br /> history: NAS 6C 3"3 _ <br /> � t t <br /> C)ILCKL(Sf 3t...<. ntn E«(£ I1 <br /> All Applicallons <br /> Completed Applicnllon Forms -17, Owners'Slgnelmo <br /> Copy of Deed or r'rollndnnry Tlllo rlepolt• 179 Copies of pinn or Map <br /> r 0%•x i t'Floddead pian or Mnp b�- Ilnzo,dous Mntodais Disclosure Survey ❑ <br /> Dovolopmenl In,pncl Mllignllon Foo Form ❑ Assosgor and history!'agog <br /> Names Llst• Sawor/Wolor•Will Servo'Letter• ❑ <br /> General pinn Mop• ❑ Zoning Mnp• ❑ <br /> Soils noport• ❑ Solis Sultnblllty Study• ❑ <br /> Subsldenca Arca ❑ Yes �410 Expensive Sell Area 01,�Yes ❑ No <br /> • lheso rnntedals mny not be ioclulted for ccrtnln epplicnllons. Chock the eppllcallon typo for dolnlls. <br /> Tentative Mnps r <br /> Mnp Signed by Owner }� Traci Number and Name(Mnjor Subs only) ❑ <br /> Ad)olnh,g r topoity Owners Nmnes on hlnp All Lots Numborod <br /> Contour Lines Locnllon of Well and Sopllc Syslom <br /> Excavntlons <br /> Flocimmnlfon Finn end Schedule ❑ Flnnnelnl Gunrnntoo ❑ <br /> Typlcnl Cross-oncllons ❑ [lovollon Cnlculntlon Schodulo O <br /> f_nglnocrb Sinn,p ❑ <br /> Con,plMod Dy: c� VE Li z Dnlo: l G �2S <br />