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MS - 93 - 90 <br /> APPLICATION CONTM)U SHP-LT' <br /> r. <br /> ao ba complo)et), i beve)oj m.. snrvlee <br /> nocol t Number: Dole: <br /> ProApp Only: d Yos d No roo: P <br /> riloflunrbor: q0 <br /> roo: 8Z0 nocolpt Nurnbor: q.573 Data: <br /> Fila t•luurbor. <br /> roo: nocolpt Numbor: Onto: <br /> Pilo Nurnbor: <br /> roo; nocolpt Number., Dole: <br /> Tt <br /> Doocrlptlon of rrojoct \nJUtZ -503tIU�171�f 5101 - V r r`� l} PV6 <br /> �a SUa1�lvfat /� G'1z�ss 80 ,acs= 7�,A(zc6�- rNa <br /> p/t1zCEC S "!` "2 • � rr 3` T° Ca;1 Tn(N f 0 Acv-6 S AtJ A- <br /> n12 Or= 5d ACt <br /> D�sf 6rJr4fi� �.s•MIOL - <br /> -- <br /> rroloctLocntlon: 00 THE we SIP61 OF C-i4-iz:9OLTenI <br /> NoRTlt of )zWE-v-- ROAD Wb'ST OF �ScraL•�+ <br /> Address: <br /> Ocnornl Plon Communlly: (7tif t, <br /> Gonornl Plnn Designntlon: A- •(7 <br /> Pro cul lAG -4a Ovodny Zono(s): <br /> Zoning Mnp: COV'M W r d L P Y Zonn g' <br /> ndlnconl <br /> Genornl rinn Zoning <br /> I <br /> florth: <br /> Soullr: <br /> .r <br /> r� <br /> East: <br /> ri <br /> (e <br /> Went: <br /> 100 Yonr Plead O'Y1es U-< Wllllsmsorr A Yes 0 No I Suporvlsodal District: S <br /> Airport Aren: I(I,- Specific rinn(s) O Yes moo: <br /> Ili toryO <br /> CI ILCKLISt <br /> All Applications <br /> Completed Application corms ttY/ Owners'Signature <br /> Copy of Decd or rrolinrinnry Title ncporl Copies of Plan or Mop <br /> OW x I I'nodUcod rinn or Mnp �� I lazordous Mnlorinis Disclosure Survey O <br /> Doveloprrrcnt Impact Milignllon roo Form O AssessorFllalory pages <br /> Names List' O Sowor/Wolar WIII Servo'Lollar <br /> Genornl Plan Mnp' <br /> p Zoning Mnp' O <br /> Solis noport' <br /> 0 Solis Suitability Study' [] <br /> Expansive,Sell Area O Yes <br /> Subsidence Area O Yes 9�1`to Ex p <br /> ' Theso mnlednis cony not be required for cerinln opplicnllons. Chock Ilio nppllcallon typo for detnlb. <br /> Tenlntivo Mnp% <br /> Mnp Signed by Owner td---, Trocl Number and Name(Mnlor Subs only) O <br /> Adjoining properly Owners Nnmcs on Mnp 01", All Lots Numborod Cdr <br /> Corrlour Lines 01111 Location of Well rind Septic System <br /> Excavntlons <br /> floclnnrnllon tion and Selredulo <br /> rirrnrrcinl Gunronloo <br /> Typicnl Crosssoctlons O Uavnllnn Cnlculnllon Schedule d <br /> Engineer's S1nmp U - <br />