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APPLICATION CONTROL SHEET <br /> To be c mpl.l.d by D—I.Pment Servlc.cult <br /> P,.App only: ❑yea W No Fes: Receipt Numb— <br /> File Numb- . q zT �� \ F- ps•'. Rec.ipl Number. 2 0 Y L p Data:7-3-y <br /> File Number (1(tJCk Vn yr v / Fee Receipt N-1;- at.: <br /> Fila Number: Fes: Receipt Number: Dela' <br /> Descriplion of P,ojacl R tl D/ / q rP -c J N U <br /> F q l/ F ntc <br /> r' I F - tid Y _�- 0 <br /> Project <br /> Pv��C C.O t,LJ t E}' f"�'�l7 nl G ♦� G �U I <br /> Addie..: <br /> APN(s):OC'j -O 1 C>- I <br /> Gen rel Plan Gen rel Plan Designaiion: Ac+r R 1 c- LTT1 W-AE <br /> Zoning Map: i5- Property Zoning: ¢,,�'--dp O.'etley Zone(.): <br /> Adjacent Gen rel Plan Zoning <br /> NOM: A G 1 GL L-TLL t -f=- <br /> South: <br /> ase <br /> West: <br /> 100-Year Flood ❑ Yes NoWilliamson AdYes ❑ No S.Pennson.l District: <br /> Aupon Area: /�O r�E Specific Plan(.) ❑yes No: <br /> History: MS-8U•Z8 M- 15-Ifs MH Y35-� MF 88-Zg MF-91-38 <br /> CHECKLIST <br /> All Applications <br /> Completed Application Forms C nersSigns-. <br /> Copy of Deed or Preliminary Title Repon ❑ Copies of Plan or Map <br /> BY'.11'Reduced Plan or Map Hazardous Materials Oisclo.ure Survey ❑ <br /> 0-101 enl Impact Wigs,-Fes Form ❑ Assessor and History Pages <br /> Name.List SewerAveler Will Serve'Lena, ❑ - <br /> Gen.r.l Plan Map' ❑ Zoning Map' ❑ <br /> Soils Repon• ❑ Soils Suitability Study• ❑ <br /> Thea.melen.ls may not be,squired for ca dein applicaltpns. Check the application type for detail.. <br /> T-1.0v.Map. <br /> Ms.Signed by Owner ❑ Tied Number and Name(Major Subs only) ❑ <br /> Sepia All Lots Numb.,ed <br /> Contour Lln.. ❑ Loc.lion of Well and Septic System �❑/ <br /> Agricultural H.nnw.Form Adjoi ing Properly Owne.Nam n Map ➢i <br /> F—y.11- <br /> Reclamation Plan and Schedule ❑ Fin tial Gua ante. ❑ <br /> Tyoic.l C,o..-I,on. ❑ Elevation Celculilli-Schedule ❑ <br /> Engines,.Stamp ❑ <br /> cPmaa.d 3r a (e 1 c).. C 5 J"- I <br /> .PPcnul.rm � -vl <br />