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APPLICATION CONTROL SHEET
<br /> To b,co mploled by Doveiop—,l Service vinn --
<br /> P,,App Only: o Yes o Ilo F..: n.c.lpl Nu,nbe,:
<br /> (Ilo llu,,,b.= MS-192/3J_ F•.: 1080 C1, necelpl Numbe,; 20879
<br /> File Number: Fish Q 6-1-1 F..: 26--o necelpl Numb- Del.:
<br /> Filo Nun,ber: o� Foe: 1105"0 necelpl Number: D.W
<br /> De,ellpllan of Pro).cl J ?IYOY �G��l✓,Sl/Ay /,,/f a ,23,6
<br /> D4Y('P�S )D rIPI dh L. �t feu T/ N 4 OrXf T6C' RLH)O rdOy J�CHNYV/H
<br /> /9,0 ocres.
<br /> r,.�e,l Lp.nLupn: 0,
<br /> Address: 3?30 N W,If 9
<br /> C APN(,):092-1 60-1//0
<br /> General m-Co'mlmm,ily:sfeck{nh I Gen.m1 Plnn Deslgnnli.n:L.�/,n.)<Cr� 'µd43rhr}FI
<br /> Zoning M.P: fT'- 6 P,.p.,ly Zoninq: M-' 10-1 y Zane pj:
<br /> Adj.-N General Pl.. Zoninq
<br /> up,lm O Sac (IA J —1-PA 1 M_1
<br /> s.uP,t Re - e R-2—
<br /> E.,1: L;�„><er) L,JG, tio� M-1
<br /> W..l: Lew
<br /> Den,L R-
<br /> A TM-Yam Flo.d P4 Ye, o FI.F[.2�' Willi--Acl o vee�No I Sup.n,f,orinl Dishlcl: 3
<br /> Allpo,l A,,.: b sp.cific PI-(.) ❑ vas No:
<br /> Ih,lp,y: PM-80-49•UP9384� - "-E-21 - � - -
<br /> i
<br /> rCHECKLIST
<br /> All Appllcolio-
<br /> Con,pleled Applicollon F—, O«ne>Signelu,e
<br /> Copy el Decd or P,.limme,y Tip.nepo,l' Copies of Plon o,Mop
<br /> 814'.I I'n.du..d Plen or ki.p li..,d.u,Mele,i.ls Dheloau,v Survey o
<br /> D-,lopmenl Imp.cl Milig.11on Fee F.,m ❑ A...s,o,end I ll,l.,y Peg.,
<br /> No-.,U,1S—,/Weler Vill S.,.*Lcller' ❑
<br /> Gene,el Pl..Mep' ❑ Zoninq Mep ❑
<br /> Soils nepo,l' D Soils Sull.bllily Sludy• D
<br /> These m.-W,m.y not be,equhad lo,ce,leln epplicolions. Check the eppiicollon lyp,for deleiy.
<br /> T colo live M.p,
<br /> Mep sign.d by O ", T,ecl Numb,,end N.-(Mejp,Sub,only) ❑
<br /> S.pie All L.I.Nu,nb.r.d (3/
<br /> Conlon,Ll,,., 5,,r/ /el"'./'o (x L...llen of Won end septi.Sysl.m
<br /> Ag,icullu,.l llom..11e Fo,m ❑ Adj.lnlnq P,.pe,ry Own.,.Norco,.n Mop
<br /> Eae.eellon.
<br /> noclemeuon Plen end sch.dul. ❑ Financial Gunl.nle. o
<br /> Typleei C,osa-cd.ne ❑ El.-lion Cnleul.11on Seh.dulo ❑
<br /> Engin..,,Slump Cl
<br /> C.mpl.led By:
<br /> arp.11 r.n„
<br /> 1
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