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I <br /> APPLICATION CONTROL SHEET <br /> To be completed by Dovelopment Scrvlce deft <br /> ',.App Only: ❑Yas ❑No Fee: <br /> Receipt Number. Data: <br /> Filo Number: — — Fee: <br /> Recelpl Number: 2217 Data: 261 <br /> FIN Number: Fee: <br /> 00 Receipt Number: Dela: <br /> FII•Number: Fee: ' Receipt NumbQer: D°tO <br /> Description of Protech O •lv e <br /> l 0.2 crams ` <br /> CO i .00cre5• <br /> G� W <br /> Project Location: <br /> . L <br /> O <br /> Address:"/SI G/h� 0• <br /> APN(s):O/S 230-2 <br /> 1 '`^ General Plan Designation:R . �.w tc—6 1T r <br /> General Plan Community: l.�I te <br /> Zoning Map: Property Zoning: L„— Overlay Zen.(,): <br /> Adjacent Gonar°I Plan Zoning <br /> North: 1r2ninAL/ WVJ 9xv4k G— 0 _ <br /> South: _C• 0 O <br /> East: t <br /> Q West: — v <br /> Zone B 00-Year Flood ❑ Yea 1K No WIIliamson Act Yas ❑ No Supervisorial District: <br /> Airport Area: Me, Specific Plan(s) ❑ Yes ❑ No: <br /> History <br /> CHECKLIST <br /> All Applications <br /> Completed Application Forms )[ Owners'Signalu <br /> Copy of Deed or Preliminary Till.Report' '9r Copies of Plan or Map <br /> B'/.'x t 1'Reduced Plan or Map H-erdous Materials Disclosure Survey ❑ <br /> Dovelopment Impact Mitigation Fee Form ❑ Assessor and History Pages 19r <br /> Nemec Llst' Sewer/Wel°,'Will Save'Letter• Cl <br /> General Plan Map• ❑ Zoning Map• Cl <br /> Soils Ropon• ❑ Soils Suitability Sludy' ❑ <br /> These materiels may not be required for certain applications. Check the application type for detoits. <br /> Tentetive Maps <br /> Map Signed by Owner b► Treat Number and Name(Major Subs only) ❑ <br /> Sept. ❑ All Lots Numbered JU <br /> Conlour Lines w Location of Well and Septic System ❑ <br /> Agricultural Homaelte Form ❑ Adjoining Property Owners Names on Mop <br /> Ercevallons <br /> Reclamation Pen and Schedule ❑ Financial Guarantee p <br /> Typleol Cross-seellons ❑ Elevation Calculation Schedule ❑ <br /> Engine.,'.Stemp ❑ '7 <br /> Completed By: Date: <br /> sppcntr.rm 3-18.91 <br />