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APPLICATION CONTROL SHEET <br /> To completed by Development Servloe stall ' <br /> PreApp Only: ❑Yea ❑ No Fee: Receipt Number. Date: <br /> u <br /> File Number. p Q3- 12 1 Fee: ITS.— Receipt Number: 82-91 Date: 7 I2 <br /> File Number: Fee: Receipt Number. Date: <br /> File Number: Fee: Receipt Number. Date: <br /> Description of Project US* *7,2 ,%A l'17 Wr'Lt C-("n'N •FZ t3-f 6"S it <br /> A C AA zric r%__ 5k,"t'S T+ % G�WE Seg" DtNF QA S <br /> AIJ'O 4or" Qd- Z.A fMj , a: to Rcx<< l <br /> Project Location: O-J 71*F UW Sias LP <br /> 6y6sq-1F Intc,TCXL /CoyJ 5C 4%A Lc WC�c�Pc�A <br /> Address: 17'3'19 tJ . J" -R"s 2u A-0 <br /> Lc-v?1 C(rjZl(O APN(s): bSI.aSO-S <br /> General Plan Community: - General Plan Designation:6w w <br /> Zoning Map: e Property Zoning: A640 Overlay Zone(s): <br /> Adjacent General Plan Zoning <br /> North: <br /> South: <br /> East: e <br /> t n <br /> West: <br /> 100-Year Flood 9Y.s ❑ No Williamson Act ❑ Yea No Supervisorial District: <br /> Airport Area: NON* Speck Plana) ❑ Yea O�No: <br /> History: -5C� l�"VJFlnLf a. W17 -k—�j t1C <br /> -" CHECKLIST <br /> All Applications <br /> Completed Application Forms Owners'Signature <br /> Copy of Deed or Preliminary Title Report Copies of Plan or Map <br /> S'.'x 11'Reduced Plan or Map Q Hazardous Materials Disclosure Survey <br /> Development Impact Mitigation Fee Form ❑ Assessor and History Pages ,❑1 <br /> Names List• SewerM/ater'Will Serve'Letter• ❑ <br /> General Plan Map ❑ Zoning Mop` ❑ <br /> Soils Report• ❑ Soil SWtabilily Study' ❑ <br /> Subsidence Area ❑ Yea No Expensive Sell Area ❑ Yea No <br /> • These materials may not be required for certain applications. Check the application type for details. <br /> Tentative Maps <br /> Map Signed by Owner ❑ Tract Number and Name(Major Subs only) ❑ <br /> Adjoining Property Owners Names on Map ❑ All Lots Numbered ❑ <br /> Contour Lines ❑ Location at Well and Septic System ❑ <br /> Esuvatlarts <br /> Reclamation Plan and Schedule ❑ Financial Guarantee ❑ <br /> Typical Crosssections ❑ Elevation Calculation Schedule ❑ <br /> Engineer's Stamp ❑ <br /> Completed Ry: L N..k Q� fit �1U'E/t6 Date <br /> `) 112 53 <br />