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THIS PAGE TO BE FILLED OUT BY DEVELOPMENT SERVICES STAFF <br /> PROPERTY INFORMATION <br /> Job-Site Address: �J `3 A /1 Q Or-app APN: 0 0 05 <br /> Cross-Street: v(_-"0,n a o Pb City: si'mk -4- ZIP: <br /> Precise Location: O A-,– L r <br /> e p L R6A4 4 <br /> Subdivision Name: Map# BULot# <br /> Zoning and Setbacks Zone: 4d Front: 5J Left: I d Right: 164 Rear: or I Height— <br /> School District Fire District: O I( <br /> Sewer District WaterOistrict: QYtu��o <br /> Approved Use: <br /> Site Plan Type Hazardous Mat 'a S s: ❑ No: Id' <br /> MINOR: bl GENERAL:❑ MAJOR:❑ N/A:❑ If answer is no-Please explain: <br /> Planning Project( ate: t tSA,UP,MS etc.)Expiration dN@ C L <br /> Sv�Mi r)G vet, <br /> 77 �QQBR�IU n� <br /> Jin 10 7. Od(o VU <br /> MONTH DAY YEAR <br /> SPECIAL AREAS" <br /> Subsidence Area:Yes: ❑ No: a� Expansive Soil Area: Yes:Ir_ No: ❑ <br /> Fire Hazard Area:Yes: Ur� No: ❑ Airport Zone: Yes:❑ No: Or` <br /> Enterprise Zone: Yes: ❑ No: 0_� SJAFCA: Yes:❑ No: D-- <br /> BUSINESS LICENSE <br /> Required: Yes: ❑ No: ❑ BL No.: I Fee Paid: Yes:❑ No: ❑ <br /> C t4 erL- <br /> COMMENTS <br /> t ' <br /> d <� <br /> c `v <br /> L w• <br /> NZ - <br /> _ U r <br /> �+re,G ai'ZCB - 2 •oZ fides � P <br /> Lu . Cr <br /> ir(Vk AL UP <br /> /o1-ULA <br /> Plan Check O S File# P4 V44 V I <br /> Technician: 1Date: 2 Q <br /> F:a,unrowzbanwewurno WM.ERCW.WFCN.EocFleY128)Rents 1030@) Page 2 of <br />