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APPLICATION CONTROL SHEET <br /> To De coenoleied by D—I.Dment ataN <br /> P'.App Onr, — " Nc I Fee euro'Numbe- Date: <br /> Fite Numb- S�I —� Fee Fi.mot Number 1(�� I Date x_7_41 <br /> Foo Numoer Foe FNce1D1 Numoer. I Due <br /> File Numb- Fee F—.,ot Number. Date <br /> D—etrDuon o1 Prolac: <br /> a U <br /> Proucl LoCalibr. FC n r n r V I A, C <br /> Address: (o,SU'7 -C AIA A k1h V L ' ti e,b! C i! 9 s 2 6 <br /> APN(s) OCcI-13�-20 <br /> General Plan Communm• Genoral Plar.Designation: [.f L <br /> 20mn9 Map- E Z I Probe m'Zomnc. [ L/ I 2onelsl. <br /> Adjacent General Pun I Zonmc <br /> North: I /}(y0 <br /> Soon: _ I Cho <br /> 4 <br /> Was: <br /> 104Yea-Hood C Yes 15,No I Willumson Act $_Yes ❑ No Sup.—onal Drum <br /> AvDon Area: I 5Deci is Pun(si C 1"es ❑ Nt. <br /> History: A,,0 /f <br /> CHECKLIST <br /> All Applications <br /> Comoleted Apohcalion Forms ILI— I C—.,s'Signature <br /> Copy of Deeo or Preiiminary Tam Fie Don Copms 01 Plan or Ma; 0--- <br /> 8'/.' <br /> --8Y>'x 11•Raeuced Ptan or Mac I Hazaroous Maia—is Disclosure Su-- r- <br /> Develoomenl Im Dact MNDabon Fee Form. Assessor and History P.p- d <br /> Names Lia: P�� I Sewer/Waier will Serve'Lane-' C <br /> General Pun Mac I Zoning Mat <br /> Solis Fepor.• I Solis Surabilm Sluby <br /> These mateners may no'be teouired for certain aDoi-cabons. Check the application type for oefai¢ <br /> Tentative M.D. <br /> Map Stoned by C-he' �� I i racl Number and Name (Maio:Subs onty', C <br /> Sabra 6v// I All Lots Num..c <br /> Contour Lines G/ I Lo.i.on of Well net Seot¢Svstac Lt.-- <br /> Apncultural Ho—ne Form o/� ( Acioinme PloDenv Owners Names on Me- zo� <br /> Ezcavation. <br /> Reclamation Plan and Seheome D I nnenuel Guanmee C <br /> Ty Dieal Cross-sections C I Elevation Calculation Schedule G <br /> nPinear s Stamp <br /> Completed 6y: <br /> appcirim rm -r•lo-v� <br />