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APPLICATION CONTROL SHEET <br /> To bn comhlolerf Iry bnvelnpn1 1. Snrvlc6:.t a <br /> LM <br /> r fi t€ iSe�4 <br /> Filo Numbor: Foo: S S j `L- flocoipt Number: I l C.;1r Dole' <br /> Doscrlpllon of Projocl Sr Mt f %17 li l v r» <br /> Prof ncl Locntion: No -I t, S(Gtt' o� /V I N 74P <br /> 'xnrr 577 <br /> Addross: Z2 I I F IV S1_ S71 <br /> APN(s): —U _ <br /> Gcnernl Pion Community: Genornl Plan Deslgnntiow <br /> Zoning Mop: Property Zoning: Ovoriny Zono(s): <br /> 100 Yonr flood ❑ Yes ❑ No Wlllinnison Act ❑ Yos No I Supowlsorlol Dislllcl: <br /> Alrport Arco: Specific Plnn(s) ❑ Yes ❑ No: <br /> I Ilslory: <br /> CI IECKLIST; . .. <br /> All Appllcotlons <br /> Comploled Applicallon Forms .0--- Owners'Signature [)� <br /> Copy of Decd or Proliminnry Tltlo Report " 13'_. Coplos of Plan or Map $� <br /> 8%'x I I' noddcod Plan or Map ❑ 1Inzardous Mntorials Disclosure Survey ❑ <br /> Development Impact Mitigation Foo Form ❑ Assossor and I ilstory Pages ❑ <br /> Names List " ❑ Sower/Wotor Vill Servo'Loltor • ❑ j <br /> General Pinn Map " ❑ Zoning Mop • ❑ 1 <br /> Solis noport • ❑ Soils Sullnbility Study ' ❑ <br /> Subsldenco Arco ❑ Yes ❑ No Expansive Soil Area ❑ Yes ❑ No <br /> l <br /> Theso mnlerlals may not be required for ccrinln appllcallons. Chock tho application typo for details. <br /> Complotod Dy: w— to: <br /> nppcnlf . nn <br />