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APPLICATION CONTROL SHEET <br /> .. . .. ...................... ..... ........................ .......... ... .. . .. .................... <br /> :.. .�'o:bn.canrploied�yalfive leprl nt.S..:. . ;. .:>>:::::::.: ...:•.;,::.:.::::;..::• ,. <br /> PioApp Only: ❑Yes Foo: iiocolpt Numbor: Dalo: <br /> Filo Numbor: — 3 —g 1 roo: 3 5 s of iiocolpt Numbot: Dolo:7 .21 -j <br /> Filo Numbor: roo: hocolpl Numbor Data: <br /> Filo Numbor: roo: iiocolpt Numbor: Data: <br /> Description of Proloct `(�cc , Z. h.41; <br /> 47,, <br /> Proloct Location: <br /> Address: actN. �n <br /> APN(s): & —b <br /> 13enotel Plnn Community: Genoml Plan Designation: <br /> Zoning Mnp: Property Zoning: Ovoriny Zono(s): <br /> Adlncarrt Ocnorni Plan Zoning <br /> 140111): <br /> South: <br /> East: <br /> West: <br /> 100•Yonr riood ❑ Yes ❑ No Williamson Act ❑ Yos 1-IJo I Suparvlsorinl District: <br /> Airport Aron: Spocfilo Pinn(s) ❑ Yes ❑ No: <br /> I iistoty: <br /> CIILCKLI§T s PON <br /> < <br /> All Applications <br /> Comploted Application Forms �3� Owners'Slgnaturo <br /> Copy of Deed or Prollminnry Tillo flepont" IJP Copies of Plan or Map -e7 <br /> a,/,*x 1 I' iloducod Pian or Map ❑ 1lazardous Malotlals Disclosure Survey ❑ <br /> Dovelopmenl Impact Miligallon roo roan ❑ Assessor and I Ilstory Pages O <br /> Names List " ❑ Sower/Wator'Will Sorvo'Lollar' ❑ <br /> General Platt Mop " ❑ Zoning Mop" ❑ <br /> Solis noporl" ❑ Soils Suitability Study ❑ <br /> Subsidence Area ❑ Yes IJo Expansive Soil Aron Yos ❑ No <br /> " Tlcso materials may not bo required for cednln applications. Chock Iho application typo for details. <br /> Tenlativo Mops <br /> Mop Slgnod by Owner ❑ Tract Numbor and Name (Major Subs only) ❑ <br /> Adlol111ng Property Owners Names on Map ❑ All Lots Nurnborod ❑ <br /> Contour Lines ❑ Location of Wolf and Sopllo Systom ❑ <br /> Excavations <br /> Iloclnntation Plan end Schodule ❑ Financial Guarantee ❑ <br /> Typical Cross•soctlons ❑ Elovallon Calculation Schodulo ❑ <br /> Engineer's Stamp ❑ <br /> Complolod By: Delo: 7 2 (—` <br />