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APPLICATION CONTROL SHEET <br /> :fF <br /> r�� �s.�dsLa comryleleil,;b�•bavejcpmenl Se(VISB a 81 If;.�k �{t s T'• . s� ' <br /> -- nocol pt Number: Data: <br /> proApp Only: ❑Yea ❑ No Fee: P <br /> G //(p0 � nocalpt Number: �O G22 Dole:11151q.3 <br /> Filo Number: MS' (3� 1t4 Foe: <br /> Fila Number: <br /> Foo: nacalpl Numbor: Dela: <br /> Flio Nwnbor: <br /> Foo: nocalpl Number: Data: <br /> J cano•.J -77� 5�1ot�y� <br /> Description of Project Q- /Alter lj./�31J1✓jf[G 'r <br /> 43.67 ar/rs �.u�� r�rD ruA pws �au�L / <br /> 72> /G�o�gA <br /> Projocl Location: Urj 7H ' � r Cut Nle- C MCrrZ 2 <br /> 4,AV15- S✓l/7Ir (.Ch/ <br /> Address: -Zc '0( 1-4 t-MM_ f" <br /> APN(s): pS9' OGG" <br /> Ocnerol Plan Community: <br /> General Plen Dosignolion: <br /> Zoning Mop: (f�0/ Propmry zoning: !4 "IC ❑+allay Zona(s): <br /> Adjacent <br /> General Plan Zoning <br /> U ACr- Y° <br /> North: <br /> South: <br /> (Y ntr U <br /> East: <br /> West: <br /> IgG-Your Flood ❑ yes Na <br /> Williamson Act ❑ Yaa X No Suparvlsodol Dlslrlcl: <br /> AI p rt Are, <br /> (fA/ /h41',* c' Sp ill PI () ❑ yesN <br /> Hlslory <br /> CHECKLISt , <br /> All Applications <br /> Completed Application Farms Owners'Signature x! <br /> Copy of Decd or PrallmCopies of Plan or Map <br /> innry Title neport' `Jfl- <br /> liscotduus Mnlorlols Dlsclosuro Survey <br /> S'/.'x 11'naducod Plan or Map ❑ <br /> Development Impact Mitigation Foo Form O <br /> Assessor and History Pages <br /> Sewer/Waler'Will Servo'Lotter• El <br /> U.1 <br /> Ooneral Plan Map' <br /> ❑ Zoning Map• ❑ j <br /> s ❑ <br /> • ❑ Sella Suitability Study <br /> Solis noport <br /> Subsidence Arca O Yes No Expensive Soli Area O Yea No <br /> • Tinse materials may not be required lot certain <br /> applications. Chock Ilse application type far dolatia. <br /> Tentative Maps <br /> Map Signed by Owner Tract Number and Name(Major Subs only) ❑ <br /> Adjoining propotly Owners Names on Mop -1d All Lots Numbered <br /> Contour Linea Location of Well end Septic Syslam ❑ <br /> Excavations <br /> noelamnllon Plan and Schedule <br /> ❑ Flnanclel Ouson too ❑ <br /> Typical Crms-sodloro <br /> ❑ Elovollon Calculation Schedule ❑ <br /> Engineer's Vomit ❑ <br /> r....M...s err 7�i>t l 1,A- � U4-Z Dalr. r r/S43 <br />