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APPLICATION CONTROL SHEET <br /> To ba comploied 6y,bnvelapirionl Snrv(ce slfilt <br /> ProApp Only: ❑Yas ❑ No Fee: nocoipl Number: Data: <br /> Filo Number: p_ z-5-a r, Foo: U � flocolpt Number: �I�i2n Dole: I LI1�+47 <br /> Filo Number: Foo: Flocolpt Number: Data: <br /> Filo Number: ran: Flocolpt Number: Data: <br /> DoscripllonofProject �.(�( L(�, ��}�rl�`�'—JIT - f, <br /> Project <br /> �- " <br /> �l5'n�Cr G•b� D2rcf p�rtr..a.- _F`p G•23 A-G� <br /> Proloct Location: CUA 7'+e St O- GC L,JWP-- S t/tfann r/Tli lZi^� <br /> t tv urt T'•4 cF Q&v+-F M l k.-,zT ncro f•tt>2 M �Fa u"—L�1 <br /> Address: (1-71 N• Lex, S`tt rL aM <br /> Lur2r G,>` C152Lz APN(s): <br /> General Plnn Community: General Plan Designation: �U <br /> Zoning Mnp: Property Zoning: 6rG y D Overlay Zono(s): <br /> Adjacent <br /> General Pion Zoning <br /> A/61 , -y o <br /> North: <br /> ALq a/� <br /> south: ' <br /> Ensl: A-Y, y a <br /> West: A GNU- 14o <br /> 100-Yonr Flood ❑ Yes l!"o Williamson Act ❑ Yo s �No ( Suparvisorlel District: <br /> S eciflc Plans es No: L `� fiK'�aww�U <br /> Airport Men: l�J4l P Plan(s) <br /> History: MS R t 3`1 V P 612- 1 <br /> CNtCKLISTf:f•::f... <br /> All Applications <br /> Completed Application Forms Owners'Signature ) <br /> Copy of Deed or Proilminnry Title Fleporl• Caples of Plan or Map <br /> 8%'x I V Ftoducad Plan or Map l lazardous Materials Disclosure Survey ❑ <br /> Development Impact Mitigation Foo Form ❑ Assessor and Illstory Pages <br /> Nomas List' ❑ Sower/Water'Will Servo'Letter• ❑ <br /> Gonarnl Plan Map• ❑ Zoning Map• ❑ <br /> Sells Report <br /> p Solis Suitability Study' ❑ <br /> Subsldanco Area ❑ YesN0 Expansive Soli Arca ❑ Yes No <br /> • These materials may not be required for cerinin applications. Chock the application typo lot details. <br /> TeWntiva Maps <br /> Map Slgnbd by Owner ❑ Tract Number and Name(Major Subs only) ❑ <br /> Rdjoining Property Owners Nnmes on Map All Lots Numbered ❑ <br /> Contour Lines ❑ Location of Well and Septic System <br /> Excavations <br /> Ftoclamnllon Plan and Schedule ❑ Financial Guarantee ❑ <br /> Typical Cross-sections ❑ Elevation Calculnilon Schedule ❑ <br /> Engineer's Stnmp ❑ <br /> Completed By: 4"A Ot LA-__T'�r'r K Date: j 2 12 j q <br /> appcnu,nn <br />