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APPLICATION CONTROL SHEET <br /> To be completed by DeGelopments�rytce stat( XX <br /> PreApp Only: ❑Yes *No Fee: Receipt Number: Date: <br /> File Number: S --7 > -- ` Foe: 3 S''= Receipt Number: 3 Data: - <br /> File Number: Fee: Receipt Number: Date: <br /> File Number: Fee: Receipt Number: Date: <br /> Description of Project S <br /> Cj <br /> Project Location: , . 7, ("j t V3 <br /> Address: 1 L <br /> APN(s): 103-110-3-2- <br /> General <br /> 03- 0-3General Pian Community: General Plan Designation: 12 N` <br /> Zoning Map: Property Zoning: Overlay Zone(s): <br /> Adjacent General Plan Zoning <br /> North: <br /> South: <br /> East: <br /> West: <br /> 100-Year Flood ❑ Yes No Williamson Act ❑ Yes Li-fJo Supervisorial District: <br /> Airport Area: Specific Plan(s) ❑ Yes to <br /> History: <br /> ;CHECKLIST>>; <br /> All Applications <br /> Completed Application Forms !Y Owners'Signature lam' <br /> Copy of Deed or Preliminary Title Report* B - Copies of Plan or Map {T` <br /> 8'/.'x 11' Reduced Plan or Map ❑ Hazardous Materials Disclosure Survey ❑ <br /> Development Impact Mitigation Fee Form ❑ Assessor and History Pages ❑ <br /> Names List* ❑ Sewer/Water'Will Serve' Letter* ❑ <br /> General Plan Map* ❑ Zoning Map * ❑ <br /> Solis Report* ❑ Soils Suitability Study * ❑ <br /> Subsidence Area ❑ Yes 1:3-t46- Expansive Soil Area Yes ❑ No <br /> * These materials may not be required for certain applications. Chock 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-suctions ❑ Elevation Calculation Schedule ❑ <br /> Engineer's Stamp ❑ <br /> Completed By: ,— Date: �3 <br /> appcntr. rm 3-118-91 <br />