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I'''I 1 t•I �� ar. <br /> APPLICATION CONTROL SHEET <br /> �. Siva �p�sT7 j <br /> to ba complo(ed by�nve(tipmenl.$eiv�ce el6t 3 (r :hx <br /> ProApp(Drily: O Yes ❑ No roo: nocoipt Number: Date: <br /> rlla Millibar: M S`"1 3_8 roe: 1 1 GO flocolpt Number: 2(.z,I Dolo:6131 93 <br /> roo Numbor: roo: nocolpt Numbor: Dale: <br /> rllo Nurnbor: roo: lloceipt Nurnbor. T, onto: <br /> Doocrlpllorr of rro)oct M��a? S tf8 D I V I S(a v+ TQ S(v 6(vi D 6 A 15 s <br /> AC'R, ?AJ7-0 Tw ?AC'S. ',4'9C66 awe (� <br /> 76 Can?Al ) /5 3 0 2 AczfS "D f4RCec T" (2) TO <br /> rroloclLocnifon: hE�c/E' ,%(_( . C,V1 7HE /vQKTItWEST CQRrl6%� OF <br /> VAA1 14Z—L ll -l-006Z> AQ]:D f4V E1.1A 0f <br /> _ <br /> r-CC p.C•h <br /> Address: I3I SZ S• �0( 50� �OAj) <br /> E SC A La h , CA c1 Jr 320 ArN(s): 20 5— 130 -0'1 <br /> Gcnornl Plnn Comrnunhy: lVol a Gommml rlon Doslgnntlon: 14 G <br /> ]-ening Mnp: Lit E Propelly Zoning: AG —40 Ovoriny Zono(s): <br /> AdJncorrt Genornl Plan Zoning <br /> North: <br /> rr <br /> South: rr <br /> East: <br /> N r� <br /> West: <br /> 100-Yonr rlood es O No Wminlnson Act ❑ Yes SJ�+e l Suporvlsorloi District-. S <br /> Alrporl Aren: Specille Plan(s) ❑ Yes 9'Iqo: <br /> I llslory <br /> C)I�CIZLISt <br /> Neill s k< <br /> All Appllcallons <br /> Completed Applicollorr,roans V1--- Owners'Signature <br /> Copy of Decd or ProllmInnry Title fleporl ❑ Copies of Plnn or Mnp <br /> 0%;x 1 I'rloducod Pinn or Mnp t� I Iazardous Mnlarfois Disclosure Survey O <br /> Development Impnct Mitigation roo roan O Assessor and History Pages 9---- <br /> Nornos List' ❑ Sower/Walor'Will Servo'Letter• ❑ <br /> Gonorni Plnn Mnp• ❑ Zoning Mnp• ❑ <br /> Soils flopott' O Soils Suitability Study• d <br /> Subsidence Arca O Yes No EExpnnsivo Soll Area Yos ❑ No <br /> " These mnlerinis may not be required for certain npplicnllons. Chock the application typo for dolnlls. <br /> Tcntnlive Mnp• <br /> Mnp Signed by Owner ❑ Tract Number and Name(Mn)or Subs only) ❑ <br /> Ad)olning Properly Owners Nnmes on Mnp w---- All Lots Numbered <br /> Contour Lines iS•--� Location of Wail and Septic System 19-- <br /> Excavnllons <br /> nocinnrntion cion and Schodulo ❑ rinnncinl Guarantee O <br /> Typical Ctoss-socllons ❑ Elovnllon Cnlcuintlon Schodulo ❑ <br /> -�?rS <br /> Engineer's Slnmp O <br /> ---- --� — . . f-1 <br />