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J <br /> 0 OMIN F <br /> CT1993 OCT 20 1993 <br /> IRONENTAL <br /> EN PERMIT/SERVICES ENVIRC)1\,'NiLNiAL HEALTH <br /> PERMIT/SERVICES <br /> APPLICATION CONTROL SHEET <br /> 2 To.bo comnlated by:bnveiopma.. rv(ce ><ttff <br /> Fila Number. SD G J — .1�6 I Foo: 3 S O flaeaiot Number. 2 S I Dnia: <br /> Description of ProjectSEG6!J (� V w T- b WEL�I 0 G <br /> 7RUy, ►G aT> y> <br /> rro(nct Locnllon: $851 S• W V L�f: T-oxID <br /> Addres::: S(� SI S• WO FE �A <br /> ,C'rZ>E)JC (' CAMP C d S 23 APN(s): - 320- 11 <br /> aenorni flan Community: P l General Man Designation: .& <br /> Zoning Mno: I Property Zoning: A (j-4a overlay Zane(s): <br /> 1 t <br /> 1017•Ynnr Flood Q Yes lBflo I 'Nlillnm:ort Act Cl Yes fII.,lJo'— i Supervisorial District: <br /> Airnott Arer+: I Specific Plnn(:) Q Yes Qtt1o'� <br /> f Iistory. <br /> ... ..... ............ ..n.. :.::::...:....,:.iii:.. <br /> ...... .... ..:. :. :.:..�.iii......... ...:..........n <br /> .. ...... ....... ... .. .... ..:. iii:. .::._..:.:.:......:::... <br /> .:. �fEC�C <br /> All Appilcatlons <br /> Completed Application Forms Cwners' Signature <br /> Copy of Decd or Proilminnry Title flcpotl ' Q Copies al Plan or Map Q <br /> 91/.*x 1 I'rloducad Man or Map Q 1 fazardous Matadals Olseiosuro Survey Q <br /> Development impact Millgadon Foo Form Q Assessor and History Pages Q <br /> t4nmos Ust • Q SaweriWatar"MA Sarva'Latter• Q <br /> General Prnn Mao ' Q Zoning Map • <br /> Sails flaoart • Q Sails Suitahtlily Study Q <br /> Subsidenea Arca Q Yes Q No Expansive Sail Area Q Yes Q No <br /> • V Tlrcao mniedais may not be roquime for certain appif=dcns. Choeic the eppilcatlon type for datm7s. <br /> `` ❑atx <br /> Compf'rtod Dr. 1,4 U `f'�-� <br /> a�rpcntrl.nn 9 <br />