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APPLICATION CONTROL SHEET Ta too carnp16ted by 0aVa10p(nenSarVIca staI ProApp Only: O Yes No Fee: Receipt Number: Onto: Filo Number: M,5- �?- (�E-) Fee: it-30,�� Receipt Number: t J 9—7 Dale: iL Zi.—?Z- File 1.—?4Filo Number: Fee: Receipt Number: Dole: File Number: Fee: Receipt Number: Dole: Description of Project A, T>rJA Zo10 AcR� Project Location: Address: 7-1( q tF. �'�t_ r1� t--oA-T�> Lac --nc\�� C P' �`7 Z-ZC I APN(s): Cc'-7 General Plan Community: General Plan Doslgnnlion: 4 carp e---u LTt1(Zc Zoning Map: G�� p,�izProperty Zoning: ate,-4-Q Ovedny Zone(s): Adjacent General Plan Zoning North: Ac—�r.�Ut- fz-E 4o South: East: West: 100-Year Flood ❑ Yes ld�No Williamson Act nYes ❑❑� No Supervisorial District: G- Airport Area: o,s E Spocilic Plan(s) ❑ Yes ® No: History: U r 442:2 Ljf 4 891, �NECKLiST All Applications // Completed Application Forms Owners'Signature 17/7 Copy of Dead or Preliminary Title Re pc vi° id Copies of Pian or Map 19/ 8'h°x I I'Reduced Plan or Map Hazardous Materials Disclosure Survey ❑ Development Impact Mitigation Fee Foim ❑ Assessor and I lislory Pages l Names List' 10 Sewer/Waler*Will Serve'Letter ' ❑ General Plan Map' ❑ Zoning Mop° ❑ Solis Report' ❑ Soils Suitability Study• ❑ These materials may not be required for certain applications. Check ilia application type for details. Tentative Maps Mop Signed by Owner YX Traci Number and Name(Major Subs only) ❑/� Sopla ❑ All Lots Numbered [tel/ Contour Linos Location of Well and Se lic System Qom/ Agricultural Homesile Form Adjoining Properly Owners Names on Mar) XJ Excavations Reclamation Plan and Schedule ❑ Financial Guarantee ❑ Typical Cross-secllons ❑ Elevation Calculation Schedule ❑ Engineer s Slomp ❑ Completed By: ��IGrrc G'"�— Onto: normnlr.rm3-18-91