Laserfiche WebLink
APPLICATION CONTROL SHEET <br /> PrWpp Only: ❑Yes ❑ No- Fee: A...1pt Number. Dote: <br /> File Number: Fee: Recelpl Number: 05765 Data: - <br /> Flle Number. Fee: Racelpl Number: Data: <br /> File Number: Fee: Receipt Number: Dol.: <br /> Description of Project L t <br /> Project Location: 7 <br /> w k <br /> Add,...:2 �] <br /> APN(e):2S / - /I <br /> General Plan Community: General Plan Dealgnsllon; 6 <br /> Zoning Mep: Property Zoning: Ove lq Zona(„): <br /> Adjacent Dan...I Plan Zoning T <br /> North: v <br /> South: <br /> East: <br /> West: <br /> Ig Year Flood ❑ Yea 19 No�y"-C Wllllemeon Act Yee ❑ No Supervisorial District: <br /> Airport Ares: D SpeoNlo Plan(.) ❑ Yee No: <br /> Z- <br /> k � <br /> All Appncanene <br /> Completed Application Forme O mu. Signatme A <br /> Copy of Dead or Preliminary Till.Report• 14 Copley of Plan or Map $' <br /> t'Reduced Plan or Map IY' H..rdous Materials Dlaol...Is Survey ❑ <br /> Development Impact Mitigation Fee Form ❑ . Assessor and History Pages $” <br /> Name.Ust• ❑ Sawer/Wat.r Wil Serve'Letter• ❑ <br /> General Plan Map• ❑ Zoning Map a ❑ <br /> Son$Report• ❑ Salle Suitebnily study. ❑ <br /> Subsidence Ares ❑ Yee pr No Eap...N.Sall Area ❑ Yee No <br /> • Theaa msladala may not be required for certain applica(lone. Check the application lypa for details. <br /> Tenletive Map. <br /> Mep Signed by Owner ❑ Tract Number and Name jMahu Subs only) ❑ <br /> Adjoining Property Owner Name.on Mop ❑ All Lots Numbered <br /> Contour Unea - ❑ Location el Wall and Septlo System sa <br /> E..vatlons <br /> Reclamation Plan and Schedule ❑ Financial Guarantee ❑ <br /> Typical Crosseecgcns ❑ Mevatlon Calculation Schedule ❑ <br /> Engineer'.Stamp ❑ <br /> Completed By: 10.t.: 3 <br /> 9-3 <br /> eppcnu.rm <br />