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APPLICATION CONTROL SHEET
<br /> ,.. to L•comp LloJ by Uavelopmenl Se,rlea.loll
<br /> r,eApp Only: ❑Ye, ❑ No F.e: n...ipi Number: Dal•:
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<br /> filo I`4—,b- S_�'L"3 S F•.;ISlo. necelpl Fl—b- [.V U Jv Onle: l 7119 I
<br /> rile Number: I�r.-I.-`�CY1 tf Fae: nncelpl Nu,,,bm: Dnl.:
<br /> rn.Nwubee Fee: `` necelpl Hu b— Uala:
<br /> Dc,c,lollan of P,.j.cl A t 1✓CSY'L� D �I X1,11�-+ —Ta DI�/1 QE 8.9 Fj
<br /> A-c I P4,x--- N't-z> "Td 2 C4) R—T? - I
<br /> rZ� cv.rte- 2.0 A t Ac eA c-,- 2 Tb caviA\n1 2-Ob Aot-}
<br /> �cYtC� 3 c-jTv�r.1 2.o� h-ctiT} Iwo PA.,-c�4 Tb C-PAe 1 2.08 �tcrtti
<br /> rrajaalLaeeuan: p,,� i� $'�� SIO C-�' SeLrrfL-� �'*A�,
<br /> q e C> /NS-.J RcAq CF M A-14ZCh
<br /> Add.—: C I2 E S Q<W j
<br /> 151-s4 APNIf1: ZO`)-086-03
<br /> General Plan Com,nunlly: I Genoral Plan DeflgnMlon: rCbUr:-tti'T�M<_
<br /> Zoning Mop: L-9 Prope„y Zoning: I—PA Ovaday Zonajel:
<br /> Adjacent General Pl.. Zoning
<br /> Na,nc f1tow xc lh tvT•t ra L-S
<br /> South; 11 1—PA
<br /> East: It i-pa
<br /> Weft: II I-P4
<br /> IOU-Yew Flood ❑ Ye, 1{No Wlliiemf on Act ❑ref �No I Supe,alfodel Dis bl<I: 5
<br /> Alrpan Area: N°^tw spedne rlanhl ❑ve, p(uo:
<br /> llio.'y: pL -73-9'1 , U-i,'-:;S9 , /5 fl 0-7 C 1)
<br /> a ;C11ECKLIST
<br /> All Appllcello„f
<br /> Compleled Applloallon F—, O..vu,'Signelme per.
<br /> Copy of Deed or P,olin,In.,Till.nep.n• Copla,of Plon o,Map
<br /> 8W.I I'naducod Plan m Map 11—d—6laledah D;.d.to .Survey ❑
<br /> Do.elopmenl Impacl Miligallon Fe•Fonn ❑ A.....a,end 111,1..y Peg.,
<br /> Namef LI,I' SewWW.Iar win Serve•L.II., ❑
<br /> Geno,.l Plan Map• ❑ Zoning Map• ❑
<br /> Soil,nepo,l• ❑ Saito Suitability Study' ❑
<br /> These male,lalo may not be,eq.h.d lo,eeileln aPpf al,on.. Check q,e epplicnllan lypa lo, 10.4,.
<br /> Tenlellva FAap.
<br /> M.p Signed by O..ne, � T,nct Number end Rema(Alajar Sub,only) ❑
<br /> Se Ple All L.I.U—bo,•d
<br /> Contour Llne, Loc.lion of Wall and Seplh,Syflern Y]
<br /> Aq,kull—1 I1-111-Fond ❑ Adlalning P,op.,Iy 0—,,!ramal an Map i
<br /> EAea en Ilom
<br /> naclonmll.n Plan and Sdmdul. ❑ Financial G.a—t.. ❑
<br /> Typlca Cra.,-..Clio- ❑ Eleveuon Calcalall—Schadul• ❑
<br /> E nginaer',Stamp ❑
<br /> C-01.1.d BY:
<br /> DNA 46
<br /> app-,,.,of
<br /> 3.10 lot
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<br /> IAL
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