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APPLICATION CONTROL SHEET <br /> efITI�'� viCtlp <br /> MoApp Only: ❑Yes ❑ No roe: necelpd Number: Unto: <br /> rtie Number. LA,-q3—i;3 Poe: /4(70_<j' necelpl Nuurbor: 1UZCo-3 Dela:) <br /> rile Nuulbeq roe: nacalpl Number. Delo: <br /> rile Nunlbef roe! nocelpl Number: Dole: <br /> Dosnlpllmr of r,olacl IrIrac Q�JY('Mts.1( ioFf�L.I C-ti'il u.J <br /> B'TW'l2*u —rWQ Ofl57184cr ?W--.5 <br /> Au `F �cz� a 0 PA<ca Z -Ta <br /> Prolocl Location: 'UI.J -rlsc— NdrL',t Sins GP s•\/L Cx' 12 cs'+O <br /> CN-F 6F 2ny 2t,b 1 wlg„ cr LwI <br /> Addiess: rj — (, QO _ <br /> (_UrJI A 241 Arrgq: �,•�-IS� 'Z6 ZZ <br /> 0011.1.1 Non Cuunnurdly: Oeneml ilea Designation: A/& <br /> Zoning Mop: cc Q riopiwly zordng: ,bG- Ovmlay zone(,): <br /> Adjacent - - O/eneml man zoning ,,(( <br /> Nadir. I[I cs, <br /> South: A o <br /> rail: o <br /> Wail: 6- <br /> u <br /> too Yon,need ❑ Yes Wlllimnson Act ❑ Yes Ne I Suptnvlsmlol NOW: <br /> Aligned New 10" Js I Speelue Man(,) ❑ Yes 19No: <br /> I lislony: MS_ 9�J•�Co <br /> Y a <br /> An Application, <br /> Completed Application rono, 0io ncrf'Slgnadee A <br /> Copy oLDeed on Nolhnlnnry Title neport• Copies of Plan o,Mop <br /> 0'/.'x I I'nodueed Man or Mop I In:01dous Mnledals Dlsdosmo Sulvey ❑ <br /> Devolopnscnl Impact Mitigation roe Folin ❑ Assessor and I Ilslory rage <br /> Nnma,List• ❑ SaweAYoter•Will Serve'Lellm• ❑ <br /> G011.ml M01s Mop• ❑ zonb,g Mnp• ❑ <br /> Sells nopoli• ❑ Solis Suitability Study• ❑ <br /> Subsidence Arco ❑ Yes ')(To Expanalve Sall Noe ❑ Ye No <br /> • Tbcae mntcdnls may not be roqulred lot cadnin applications. Check Iha nppllcallon typo toy detnils. <br /> Tentative Maps '• <br /> Map Signed by Owner . Tined Num13ber end Nome(Malo,Subs only) <br /> ,s <br /> Adjoining Property Uvn01s Names on Map (p. All Lab Numbered <br /> Conlon,Line, Location of Wall and Septic System ❑ <br /> E[cavntlons <br /> nadmmnllon Mon and Sdmdule ❑ rinnnelnl Gumanlee ❑ <br /> Typical Cros,a"Olon, ❑ Elovnllml Coleulnllon Schedule ❑ <br /> Euglneerb Simnp ❑ <br /> CemplaladDy: DtvA n� A R i` — Unto: <br />