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APPLICATION CONTROL SHEET <br /> �mfxe8l nbP6s x <br /> moe1 <br /> rreApp Only: ❑Yoe ❑ No roe: rlecolpt Number: Delo: <br /> tx- <br /> rlto Number: Ms-ef3 q q roe: ( I(oU rlocolpl Number. qq ( Dole! (U S 9 <br /> Pilo Number: roo: nocoipl Numbor: Dole: <br /> rllo Numbor. roo: nocolpl Number: Data: <br /> Dosctlplion of rrojocl M(,,J — �Jc .f)uV�S 1 �0�(L/�1Zc>J -1-0 OsA pF <br /> A Sb. -3,+ <br /> '(b C c,,jjj)R,,3 Z.oy Az,-4t0 ANA--) fit,- 2 -ra <br /> -2 4 �t11 3 <br /> Project Locnllon: 64-� -nf{c, V`A�,;T- SllT C�= �"t-S�t SJ` t2ur4p I SOc� <br /> Ncr�-r�•r OF S�-rt� t'�ut� � L-�-�r- c f= S7zx_,�-� <br /> Addtase: 2Ut�( N. pe-L_Prrj,.F FLw�✓j <br /> Si zx��T C,,\ <br /> Genornl rinn Comrminfly: Gonornl plan Doslgnnllon: A <br /> Zoning Mnp: Ptoperty Zoning: ^U-`Ev Ovariny Zono(s): <br /> Adjncottt Genornl rinn Zoning <br /> rlatll,: /-\-/c, G. `fes . <br /> South: ��U t P F� �U•�(o <br /> Enst: - <br /> Wall: <br /> mo-yonr flood ❑ Yes g No Wllllntnson Act Yes )(No I Suporvlsorinl District: <br /> Ali pot I Aren: rve,*,ye Specific Pinn(s) O Yes "o: <br /> I11slory: u- 5CD-n, r <br /> n. <br /> All <br /> All Applications <br /> Comploted Application roma Owners'Signaluro <br /> Copy of Decd or rrolhnlnnry Tlllo deport• Copies or Plan or Mnp <br /> 0%'x 1 I'noducod rinn or Mop I lazordous Mntmlals Disclosure Survey ❑ <br /> Dovolopmenl Impact Mlllgnllon roe rotm ❑ Assessor and Iliolory Pngos �+ <br /> Nnmos List' 1 - Sower/Walor'Will Servo'Lotter• ❑ <br /> Gonornl Plan Mnp• O Zoning Map• ❑ <br /> Solis I'lopolt• ❑ Soils Suitability Study ❑ <br /> Subsldonco Arca O Yes Ito Fxponslve Soil Area ❑ Yes No <br /> • llreso ntatednb mny not be required for ceitnln nppllcnllons. Chock the application typo for dolnlis. <br /> Tmulnlivn Maps <br /> Mnp Signed by Owner Tiacl Number and Nomo(Mnjor Subs only) ❑ <br /> Adjoining Property Owners flumes on Mnp All Lots Numbered 1 <br /> Contour Lines Location of Well and Septic System <br /> Excavations <br /> nocinnrntlon rinn nrtd Schedule ❑ rinonclnl Gunrnntoo ❑ <br /> Typlcnl Cross nocllons 0 r'lovnllon Cniculnllon Schndulo O <br />