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APPLICATION CONTROL SHEET <br /> To be completed by Development Service stall . r r;, `•` ' <br /> ProApp Only: ❑Yes 1j No Foo: llocolpl Numbor: Dole: <br /> Filo Numbar: 2—�� Foe: nocelpl Number'. j 2-r6 Z Dnlc: Z Y <br /> File Numbor: Fb 6- Foo: Z S� nocclpl Number: 2 ( 2e'Z- Dale: �2�Y�rlr <br /> File Numbor: Faa: 1130 necelpt Number: �, . Delo: <br /> Description of Projocl ryt r IVdr2 Sd4 E01u1 S[D1') APie LL Cok-TIoW 'T o c12F-AT1= <br /> A I? 97ULEMAW7 tjotma s,li r Phi Kcr L. CIT . S Ac ) F9ok+-t <br /> A 2n AcO-tE PpftLczC_ <br /> Project Locollon: r7 N 5 S©c,r '-0 ,Fi-A.S T C n 2c11 rmg 0 P <br /> Ynoctc votr -6 L((3/3-gTy A06eS lv6" -Tt4 GtL ccs Fisr s <br /> Address: ti C,,, s scis IeA <br /> AP14(s): U2l <br /> Gnneral Plan Community: Genowl Plnn Deslgnailon: ACS try <br /> Zoning Mop: Properly Zoning: rOveriny Zono(s): <br /> c <br /> Adjacent Goneml Plan Zoning <br /> IJorlh: 1�(Y2(e c�L�t�tt'1 f� S G---20 <br /> South: 11 I;J' ✓� (r —�Q <br /> West' <br /> I00-Your Flood D Yes I to Wllliornson Act ❑ Yes No f +Supervisorial District: <br /> Alrpoil Area: Specific Plon(s) D Yes No: <br /> I lisloly: p m — 7 T 11 2- 2c' *c- <br /> < : <br /> :f <br /> CI <br /> All Appllcallons <br /> Completed Application Forms Le Owners'Signalure r1 L7 <br /> Copy of Deed or Prollminnry Title heporl p'/ Copies of Plan or Mnp <br /> OY,'x 11' Roducod Plan or Map l3 Ilazordous Mnlerinls Disclosure Survey ❑ <br /> Davelopmonl Impacl Millgallon Foe Form ❑ Assessor and I Iislory Pages 1� <br /> Names Lis[ Sewer/Wnier 'WIII Serve' Lefler ' D <br /> General Plan Map " ❑ Zoning Mop ' D <br /> Soils Report • ❑ Solis Suitability Study,' ❑ <br /> Those materials may not be requlrod for cedaln applications. Check the npplicnilon typo for delails. <br /> Tenlnllve Maps <br /> Mnp Signed by Owner Trncl Number and Noma (Mojor Subs only) ❑ <br /> Sopla 0�// All Lois Nurnborod 2-1 <br /> Conlour Linos B Location of Wall and Sopllc System 8� <br /> Agricultural I lornosho Foran pf Adjoining Plopolty Ownols Nnmos on Mop F3� <br /> Excnvnllons <br /> noclamnllon Plan find Schodulo ❑ Flnonclnl Gunmiloo D <br /> Typical Cross-socllons ❑ Elovnllon Cnlculnllon Schedule ❑ <br /> Engineer's Slnrrip ❑ <br /> Completed By: Sof r{ Dole F Z y <br /> ^PPcnr . rm - <br /> ii. <br />