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gq APPLICATION CONTROL SHEET <br /> .;:a? ;; TO,bC,enrgplalca Uy pove�opjnenj Shc Glca:tell i: ,;` �'�3 } r <br /> ProApp Only: ❑Yes ❑ No Fee: <br /> Receipt Number: Date: <br /> FIIoNumbor: ? Fco: -/O fl�� Receipt Number: 7 D.lo: z <br /> 6x-9o-s s/�-� <br /> Filo Number: Fee: Receipt Number: <br /> Dol.: <br /> Filo Number: Fee: Receipt Number: <br /> Dole: <br /> Description of Project <br /> Project Location: - <br /> i <br /> Address: <br /> APN(s):oZ�3 of <br /> General Plan Community: General Plan Doslgn often: <br /> Zoning Mop: _ Property Zoning: <br /> `- ID Ovorla one(:): <br /> Adjacent General Plan Zoning <br /> Norlb: <br /> Soule: <br /> East: <br /> Wast: <br /> 100-Your Flood ❑ yes No Williamson Act ❑ yes No 5" <br /> — � SuparvlSorl.l District: <br /> Alrporl Aro.: Specific Pian(s) ❑ Yos F(No: <br /> I Islory: ( x_50_S <br /> 4 <br /> 3° y 'kJ3CIEGkLiST rsr nki <br /> All Applications <br /> Completed Application Forms O.vners'Signaluro <br /> Copy of Dead or Preliminary Title Report• ❑ Copies of Plan or Mop <br /> B''/•'x I t'Reduced Plan or Mop ❑ 1lazardous Materials Disclosure Survey ❑ <br /> Development Impact Mitigation Fee Form ❑ Assessor and I-lislory Pages ❑ . <br /> Names List SowelfWaler'Will Servo'Letter' <br /> ❑ <br /> General Plan Mop• Cl Zoning Mop• - <br /> Soils Report• ❑ Sells Suitability Study <br /> These materials may not be required for certain applications. Chock the npplicollon type for details. <br /> Tentative Maps <br /> Mop Signed by Owner ❑ Traci Number and Name(Major Summa only) ❑ <br /> Sopla ❑ All Lots Numbered <br /> Contour Lines ❑ Location of Well and S�Syslemp <br /> Agricultural Homoslie Farm ❑ Adjoining Property Owners Names on Mop ❑ <br /> Excavations <br /> Reclamation Plan and Schedule ❑ Financial Gunrontoo <br /> O <br /> Typical Cross-soclions ❑ Elevation Calculation Schedule <br /> Englnoor's Stamp ❑ <br /> Completed By: �' ` •�-/ /Li <br /> Delo: <br /> u 7 i <br /> appcn .rm <br />