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APPLICATION CONTROL SHEET <br /> MEN" <br /> , _', / Oy,:.00mplell, eYs aPPo,gn Pv H` >... <br /> PteAvv Only; ❑Yea 04-- Fee: Receipt Number. Data: <br /> Fila Number: <br /> _ Fee: ( 0a, Receipt Number: S js S'- Dote: SSU <br /> File Number: Fee: Receipt Number: Det.: <br /> his Number: Far; Hecelpt Number: Date: <br /> Description of Project <br /> 54 <br /> o b'Q <br /> C' a <br /> moo <br /> e - <br /> Project Loc.ibn: / Or{ta l C4 <br /> C o. o4- 41 v <br /> Address: 5'r'jp F oU `s <br /> APN(s): 'py-23o-/ <br /> General Plan Communly: G.nar.l Plan D..ignadan: L <br /> Zoning Map: Property Zoning: A 6(-2(J Owl y Z...(a): <br /> Adjacent <br /> Can...I Plan rZning <br /> North: 914. �-20 <br /> South: v' A-�--Y <br /> East: ZO <br /> West: K/L 1Q <br /> Io Ysor Flood ❑ Yea No Wllllamaon Act Cl Yes ja No rvisodal District: <br /> Airport Area: Specili.Pians) ❑ Yes ❑ No: <br /> History: `LOO � 23/ <br /> H CK <br /> All Applications <br /> Completed Application Forms Q Ownara'Slg..Wre S' <br /> Copy of Dead or Prellm1muy Title Report• -c- Copies of Plan or M.p cl- <br /> s'/.'k 11'Reddcad Plan or M.P a-, Hazardous Materiels Disclosure Survey ❑� <br /> Dwelopmerd Impact Mitigation Fee Form ❑ Assesaor and History Pages <br /> Names Ust• Se,,uf W.uu will Sana'Leder• ❑ <br /> General Plan Map• ❑ Zoning Map. Cl <br /> SoSs Report• ❑ Soils Suitability Study• ❑ <br /> Subsidence Area ❑ Yea ON. E pensive Soil Arca ❑ Yen No <br /> • These maladals may not be required for certain epplicstlons. Check the application type for details. <br /> Lnbtive M.P. <br /> Map Slgnad by Avner - ❑ Tract Number and Nome(Major Subs only) ❑ <br /> Adjolning Property Owners Names on Map ❑ All Lot.Numbered ❑ <br /> Contour Linea ❑ L..elion of Wall and Saptla Sys em ❑ <br /> Excavations <br /> Reclamation Plan and Sehadul. ❑ Financial Guarantee ❑ <br /> T,pl <br /> W .".e.ognr Sum ❑ <br /> Elw.Uon Caloulstlon Schedule —zs�93 <br /> ❑ <br /> U <br /> Stamp <br /> Completed By: <br />