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APPLICATION CONTROL SHEET <br /> To ba camploied6y bevelapmenl Sarvles itnrt,� <br /> P.C. t Number•. Data: <br /> PmApp Only: ❑Tp' ❑ No Fee: P <br /> File Number: M Q —rf q-2 Fee: J 2''— n.calpl Number. !7 }( 1) I -24-5 <br /> Fit.Number. <br /> Fee: Becolot Number. Dat.: <br /> Filo Numbor: <br /> Fee: nocelpt Number. Do[.: <br /> 0 Ip l 1 pr.lt ry{ C ti rar S r <br /> r,.[Act Location: 14 lid /+i Rel <br /> Add....: 22612 F L<-r.d�.e <br /> APN(s)e <br /> General Plan Community: Gona,.lpoplan 0asignaUon: F I� <br /> Zoning Map: Pmpary Zoning: 1\ Chnul"Zona(ej: <br /> Adjac.nl <br /> General Plan Zoning <br /> N.rth: <br /> s..tn: <br /> R -R <br /> EmL s� <br /> Weal: <br /> IMYnnr Flood ❑ Yea O'No Wllliamaon Act Cl Yea lw'k. Suporvbodol 01.1rlct: <br /> Alrped Mea: Specilla Plants) ❑ Yes ❑ No: <br /> FllstotY CL-70-5 <br /> t '.. .v <br /> CHECKLIST " <br /> All Applicallona <br /> Completed Appn.atlon Forma M&r/y-- <br /> lgneture <br /> Copy of Decd ar Prolime.,Title lleport' B� Plan or Map �'SYa'a t I'naddcad Pim ar Map lY .Material.01sdo.are Survey ❑OevalePmant Impact Mlligallon Fae Form ❑ end History PagesName.Usl• B" ter Will Servs'Lotter• ❑Ganoral Plan Map ❑ op' ❑❑ .blliy Study' ❑sane liaporl• /Subaldeneo Mee ❑ YeaNe Soil Ama ✓Y Yea ❑ No <br /> These metodols may not be inquired for am1Mn applications. Check the application type for detdla. <br /> Teniativa M.P. <br /> Map Signed by Owner ❑ Tract Number end Name(Major Sub.only) ❑ <br /> Adjoining Propary Owner Noma.en MAP Or <br /> Ali Lab Nucnban cl <br /> Contour Unee Lecelleo of Wag and Sepda Sy— <br /> t--Excavations <br /> fiaelemnllon Plan and Schedule ❑ <br /> Fln.101 Guecante. ❑ <br /> Typical Croaa avdlena ❑ Owallon Calculnlion Schedule ❑ <br /> Eaglnaer'a Sinmp ❑ <br /> Completed By: Data: —,J/-Ci <br /> e ppcntr.rm <br />