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APPLICATION CONTROL SHEET sled b d4eloMEMEL merit Service aleft "' To ba compl ProApp Only: ❑Yes ,ANO Fee: Receipt Number: Date: M5 3 0 o Receipt Number: �jO�S Date: File Number: -(,p Fee: �(p�, P File Number: Fee: R Ivo Receipt Number: Date: Fee:GFtc Receipt Number: Date: File Number: ZcZt�" Description of Project 1 LA 0 S L-t t3 17 J I S 1 0— L-I cA o—� I,3 = 4r'��a_S u Seto 9etiSStTY Fjv sL.IS o (LAr�1 Project Location: Q:S - tilD 1}-F 5 r c,c 0 AC=M ref Ca F1S� ! c . 1 Address: -404 0c,( {✓ " �Mlt�G S APN(s): General Plan Community: General Plan Designation: (_ Zoning Map:��'UL S Property Zoning: L Overlay Zone(s): Adjacent General Plan Zoning North: South: East: West: (, 100-Year Flood ❑ Yes No Williamson Act ❑ Yes No Supervisorial District: Airport Area: t�0 Specific Plan(s) Cl Yes No: History: [j' �73— `j I M 5- (28 OLO All Applications Completed Application Forms PX Owners'Signature Copy of Deed or Preliminary Title Report• Copies of Plan or Map 81/'x 11'Reduced Plan or Map Hazardous Materials Disclosure Survey ❑ Development Impact Mitigation Fee Form ❑ Assessor and History Pages Names List• Sewer/Water'Will Serve'Letter General Plan Map• ❑ Zoning Map• Sells Report • Cl Soils Suitability Study' ❑ ' Area Ex ll jd Yes ❑ No Subsidence Area ❑ Yes �No Expansive So fl • These materials may not be required for certain applications. Check the application type for details. Tentative Maps Map Signed by Owner ❑ Tract Number and Name(Major Subs only) ❑ Adjoining Property Owners Names on Map ❑ All Lots Numbered Contour Lines Looe �o _ e// Location of Well and Septic System ❑ Excavatlons Reclamation Plan and Schedule ❑ Financial Guarantee ❑ Typical Cross-sections ❑ Elevation Calculation Schedule ❑ Engineer's Stamp ❑ Completed By: