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APPLICATION CONTROL SHEET <br /> jall „ 'fi ' rA:,"'mc'ued b ❑nv4io,menl S6rv(ee stall f r krgx, <br /> ProApp Only: ❑Yes 121No Fee: Receipt Number: Z� y6 Date�J-L 3 yZ <br /> Filo Number 3 - Z-j 2 Fee: L ZO'' Receipt Number: Dale: <br /> File Number: Fee: Receipt Numbar: Dale: <br /> File Number: Fee: Receipt Number: bale: <br /> t <br /> k <br /> Description of Project jq ^ri�- /-).,d Xv Vg,, /7-SPL/C[3 77 c)N TO <br /> EtT43 e, 7047- /4 D V, 5 1`0 rz A&-tr - <br /> Project Location; [0 e A r6- O U r L!F D R-TK 5 0 e el F /m L 1✓ro <br /> A ffrtO Yl`lt-472 2 y /Z E ' E J1 Or S;A TZ Iz-T 9`F S <br /> Address: Z g 537 ['- (/ t/T-D rZ--i) 9. 1 TaGA 7 U v <br /> SLa S APN(s): J7'7 -/ab- <br /> General Plan Community: f rue-11 -ro.0 General pian Designation: //- <br /> Zoning <br /> CZoning Map: TO'•' f Properly Zoning: (r. Overlay zone(s): `- <br /> Adjacent General Plan Zoning <br /> North: 1�� L 1 M rTE"4 /41 p I'rr?j,A <br /> South: A Lor✓ grx-r r r�- u -Z-C/ <br /> East: /'A / -L <br /> West: (z/, 4 U-Z O <br /> 100-Yoor.Flood ❑ Yes ❑ No Williamson Act ❑ Yes C<No Suparvisorial District: 11 <br /> Airport Aroa: 5T0 e,,10C '7O Ao Specilic Plan{s( ❑ Yes P No: <br /> History: G _ -7 x 6 _.. <br /> In <br /> tip ia <br /> All Applications <br /> I Completed Appllcntlon Forms 2r, Owners'Signature (3-- <br /> Copy <br /> 3-Copy of Dead or Preliminary Tilts Report' Copies of Plnn or Map 13� <br /> FBW x 11'Reduced Plan or Map f7' Hazardous Materials Disclosure Survey tr <br /> Development Impact Mllfgallon Fee Form ❑ Assessor and History Pages C3, <br /> Names Listiff, SewerAWoter'Will Serve'Laster` ❑ <br /> General Plan Map" ❑ Zoning Map' ❑ <br /> Salts Report' ❑ Soils SuWabiiily Sludy' ❑ <br /> " These maladals may not be required for ceftain applications. Check the application type for details. <br /> Tentalive Maps ., <br /> Map Signed by Owner ❑ Tract Number and Noma(Major Subs onlyf ❑ <br /> Sepia ❑ All Lots Numbered ❑ <br /> Contour Lines ❑ Location of Weil and Septic System ❑ <br /> Agricultural Homaslte Form ❑ Adjoining Property Owners Names on Map ❑ <br /> EXCevatlona <br /> Reclamation Plan and Schedule ❑ Flnanclel Guarantee 0 <br /> Typical Cross•soclions ❑ Elevation Calculation Schedule ❑ <br /> Engineer's Stamp 0 <br /> Completed By: e"&.I wr- 1t4"rTrJ Dote: g17,W1z, <br /> appcnir.rm - <br />