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APPLICATION CONTROL SHEET <br /> x to bo compejnpme�rl <br /> PmApp Only: ❑Yes O No E,, <br /> a <br /> oipt Number: Dale: <br /> Filo Number: MS-c(3- 7f0olpt Number: $q q`S Dole. <br /> Filo Number: <br /> oipl Nurnbor: Delo: <br /> Filo Numbor. olpt Nurnbor: Dole: <br /> Doscrlpllon of Project M I N(M. 5L14r'ItvA ILCX4 � LCPrl)—J 7-b �fV117t <br /> br 40 6rc.✓�.f Ios,t-�-sL•- I t.rl� -,,�✓� i?�.'t'1. nA2�.1� t <br /> rJ --36 4 utL3 p, i� p�c z -Tu C-cn/t ,lJ l U <br /> Project Location: Q)J TNS (SSI ce sv`/✓L� <br /> N - GF Lt est 12ue\o (Jlr+;1si l,F (-clOr <br /> Addross: 2-76,10 � <br /> C nr q 5`3-L APN(s): 007- 7s� 08 <br /> ocnoral Plan Comrnunily: General clion Designation: �-16r <br /> Zoning Map: <br /> Gl�ll Property Zoning: A6 -'Tv Ovoriny Zono(s): <br /> Adjacent <br /> General Pion Zoning <br /> North: <br /> South: <br /> Ir <br /> II <br /> Ensl: <br /> n <br /> West: <br /> 100•Yonr Flood iYes ❑ No <br /> A. Wlllinrnson Act R(Yos ❑ No 1 Suporvlsollal District: 4 <br /> Airport Area: N WV' Specille Plon(s) ❑ Yes 04Na: <br /> History: µt'-kC -7 <br /> c1i€cKLiSt <br /> All Applications �( <br /> Complolod Application Forms P Owners'Slgnaluro F` <br /> Copy of Deed or Prollrrrinnry Title neporl• J� Copies of Pian or Map <br /> 8y;x 11•nodticod Plan or Map [ I Inzardous Mnlotlnis Dlsclosuro Survey ❑[[ <br /> Development Irrlpacl Mlilgnllon Foo Form ❑ Assessor and History Pago$ !4- <br /> Names List' b(- Sowor/Walor'Will Servo'Letter• ❑ <br /> General plan MOP' <br /> ❑ Zoning Mop• ❑ <br /> Sells floporl• <br /> ❑ Soils Suitability Study' ❑ <br /> Ex ensive Soil Area Yos [3 No <br /> Subsidence Area El Yes No p <br /> ' Thesa rnnlerlals may not be required for cerinln applications. Chock lho application typo for details. <br /> Tenlnllvo Maps <br /> Mnp Signed by Owner ❑ Tract Number and Name(Major Subs only) ❑ <br /> Adjoining proporty Owners Names on Map All Lots Numbered <br /> Locallon of Well and Septic System <br /> Contour Lines <br /> Excavations <br /> ftoclmmnllon Plnn and Selredulo <br /> ❑ Flnonclal Guarantee ❑ <br /> Typical Crass-socllons ❑ Elevation Calculation Scitodulo ❑ <br /> Engineer's Slnmp I ❑ —^_ ,. __-- <br /> Complolod By:Dao 9":, l � � Delo: <br />