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r <br /> APPLICATION CONTROL SHEET <br /> :..:.::.:::::•:::..:. <br /> •.....{:::•::::iii::}.+.••::.:n......., <br /> .............. ..... <br /> 'To bn Com <br /> to bnt..a <br /> nv c .. <br /> ProApp Only: ❑Yes ❑ No Foo: Rocelpt Number: Date: <br /> Filo Number: Foo: �j��J`� Rocelpt Numbor: (p j Y�� Date: <br /> Filo Number: Foe: Receipt Number: Data: <br /> Filo Number: Feo: Rocelpt Number: Date: <br /> Description of Project tk 567 C_0 �7 U_j{T— DWe- _tdCG <br /> e1 o,.0 r(E '5`5 EWr_S o AC,e <br /> Project Location• p I( 'Tffi�_7 C—AfT GAS <br /> ('500' S o mal-(}( o r ka GST r poi k(E5T op ���— <br /> Address: e,74,1 8"3 <br /> �Ek o)c� 7)(p (y APN(s): Z�j 2.Coo— <br /> General Plan Community: General Plan Designation: A ea <br /> Zoning Map: we, Property Zoning: A&., e0 Overlay Zono(s): <br /> Adjacent General Plan Zoning <br /> North: �'G <br /> South: <br /> Enst: <br /> West: <br /> 100-Year Flood ❑ Yes d1lNo Williamson Act ,(Yes ❑ No Supervisorial District: <br /> Airport Area: �(Q�(C Specific Plan(s) ❑ Yes jl7 No: <br /> History: <br /> C LST>:'`?»':`:<":. >`::': ...... ;;':... <br /> CHS.; K i .;. :. <br /> All Applications <br /> Completed Application Forms Owners'Signature <br /> Copy of Deed or Preliminary Title Report• Copies of Plan or Map ❑ <br /> 81/2'x 11'Roddcod Plan or Map Hazardous Materials Disclosure Survey ❑ <br /> Development Impact Mitigation Fee Form ❑ Assessor and History Pages <br /> Names List• ❑ Sewer/Water Vill Serve'Letter• ❑ <br /> General Plan Map" ❑ Zoning Map• <br /> Solis Report ❑ 1 Soils Suitability Study' ❑ <br /> Subsidence Area ❑ Yes ff No Expensive Soil Area ❑ Yes No <br /> * These materials may not be required for certain applications. Check the application type for details. <br /> Tentative Maps <br /> Map Signed by Owner ❑ Tract Number and Name (Major Subs only) ❑ <br /> Adjoining Property Owners Names on Map ❑ All Lots Numbered ❑ <br /> Contour Lines O Location of Well and Septic System ❑ <br /> Excavations <br /> Roclamalion Plan and Schedule ❑ Financial Guarantee ❑ <br /> Typical Cross-sections ❑ Elevation Calculation Schedule ❑ <br /> Engineer's Stamp ❑ <br /> Completed By: G t•7ADate: ZO 9_ <br /> appcntr. rm <br />