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APPLICATION CONTROL SHEET To beltompteted by Dovelopmenl Service staff PreApp Only: ❑Yes o Fee: Receipt Number: Data: File Number: m5_cl 2-20Fee: j NS" 0` Receipt Number: Dnlo:� G7 Filo Number: Feo: Receipt Number: Dole: Fila Number: Fee: Receipt Number: Dale: Description of Project 6, M I nL0 FL St}Ft;I 14 t S 19 S Pr V t<-A 0 -t-D D 1 c-- 60 ^-<--fs —0 uW-- S Es- ES Project Location: Address: -5 5'D I�_ M�I L I-p�fl— O�D rT��1 G� 1S��Co APN(s): 1 u General Plan Community: General Plan Deslgnallon: A :—fLt C.0 t_Tu K-T--- Zoning Mop:G ( h t_I 7-e-D Property Zoning: �� - 40 Overlay Zone(s): Adjacent General Plan Zoning North: rz t C-L-A !2G-- a G -4o South: East' West: // 100-Year Flood A Yes ❑ No Wllllemson Act J!rYos ❑ No Supervisorial District: 3 Alrporl Area: Specific Plon(s) ❑ Yes 4No: History: CHECKLIST All Applications Completed Application Forms ❑- Owners'Slgnalure Copy of Deed or Preliminary Title Report• G1/ Copies of Plan or Map f� 8'/.'x 11'Reduced Plan or Map Hazardous Materials Disclosure Survey ❑ Development Impact Mitigation Fee Form ❑ Assessor and History Pogas Names List• 12 SBwor/Wolor'Wlll Sarvo'Lollar' ❑ General Plan Map ❑ Zoning Map ❑ Solis Report• ❑ Solis Sullabllily Sludy' ❑ • These materials may not be required for certain applications. Check the application type for details. Tent Iva Mops Map Signed by Owner Tract Number and Name(Major Subs only) ❑/ Sepia ❑ All Lots Numbered p Contour Lines tr"— Location of Well and Septic System Agricultural Homesite Form ❑ Adjoining Property Owners Names on Map 4� Excavations Reclamation Plan and Schedule ❑ Financial Guarantee ❑ Typical Cross-secllons ❑ Elevation Calculation Schedule ❑ Engineer's Stamp ❑ Completed By: i a tGl p„ ---_+�' Dale: oppcntr,rm 3-18-91