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NOV 13 1992 <br /> ENVIRONMENTAL HEALTH APPLICATION CONTROL SHEET <br /> To be completbd by Development Service start . <br /> PreApp Only: ❑Yes ❑ No Fee: Receipt Number: Date: <br /> File Number: - _92 -022_9 Fee: _345—oa Receipt Number: Date:11-112-.22 <br /> File Number: Fee: Receipt Number: Date: <br /> File Number: Fee: Receipt Number: // Date: <br /> Description of Project,se l0 c <br /> Project Location: Ot, LA egs ' <br /> O Ir N <br /> Address:24 S � N <br /> APN(s):25/-2.tiv0-6 <br /> General Plan Community: General Plan Designation: <br /> Zoning Map: o Property Zoning: - Overlay Zone(s): <br /> Adjacent General Plan Zoning <br /> North: Ge <br /> South: <br /> East: <br /> West: <br /> 100-Year Flood ❑ Yes ❑ No Williamson Act ❑ Yes )9 No Supervisorial District: 5 <br /> Airport Area: No Specific Plan(s) ❑ Yes j$ No: <br /> History: <br /> CHECKLIST » <br /> All Applications <br /> Completed Application Forms ta Owners'Signature <br /> Copy of Deed or Preliminary Title Report* 19 Copies of Plan or Map 19 <br /> 8'/a'x 11' Reduced Plan or Map ❑ Hazardous Materials Disclosure Survey ❑ <br /> Development Impact Mitigation Fee Form ❑ Assessor and History Pages IN <br /> Names List* ❑ Sewer/Water'Will Serve' Letter* ❑ <br /> General Plan Map * ❑ Zoning Map ❑ <br /> Soils Report* ❑ Soils Suitability Study* ❑ <br /> Subsidence Area ❑ Yes 14 No Expansive Soil Area ❑ Yes X 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 ❑ Location of Well and Septic System ❑ <br /> Excavations <br /> Reclamation Plan and Schedule ❑ Financial Guarantee ❑ <br /> Typical Cross-sections ❑ Elevation Calculation Schedule ❑ <br /> Engineer's Stamp ❑ <br /> Completed By: Date: 12-13-92 <br /> appcntr. rm 3-18-91 <br />