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APPLICATION CONTROL SHEET <br /> MP <br /> r ar f. F; <br /> 8 82 23� r31'ss�ia <br /> s £ # d bn camplole��£1(laLe uhmerl sn}v <br /> ProApp Orlly: O Yos O No Foo: llocolpt I'lumbor: Data: <br /> rile Numbor• <br /> l�'`SC('Z��(�` Foo:I((�o.� nocolptflurrrbor: (OZ�oo Dolo:(0u <br /> Filo Numbor. Foo: nocolpl Numbor: Data: <br /> Filo Numbor; roo: nocolpl Numbor. Data: <br /> Doscilpllon of Project M l rJ 6!L <br /> ,- y2t0 40 ± A-(—,Z" t�c>rt c�—L t"Tb <br /> Project Location: Y_7 a.j —Rtg U 4E�T Sl O< < C L-;-nAZ-vJT3 rZdr 0 51,00 j- <br /> fj <br /> Address: 1111 S S. CL, I2 <br /> �llJ(JSPJ CAe 4S2-:_-7 Am(s): Qt'o5- jy 0�( <br /> r _ <br /> Gcnaral flan Comm"�unlly: General Plon Doslgnotion: h, <br /> 7_onhrg Map: e�11N r Property zoning: A, Ovoriny zono(s): <br /> Adjncorrl General Pian zoning <br /> North: I"(/� q0 <br /> Soulli: /'�I U /�G 40 <br /> Ener: /��G -44G <br /> Wast: A 4 d <br /> foo•Yonr rlood O Yes P1410 Williamson Act U Yes WV., I Suporvisodal District: <br /> Airport Aron: Specilla Pion(s) 0 Yes No: <br /> I II^lory -1 r f`�L ��2 t s <br /> r a 4 E 7,«¢ � i.. .. = 3c yH� ioti�y+'�`( `ih �y, xZ• Y 1, Wb'� Y�x ¢�:.. <br /> t <br /> All Applications <br /> Complolod Appllcntion roans Owners'Signature <br /> Copy of Doed or Proilnrhnuy Tlllo neport' Copios of Plan or Map <br /> a%;x 11'naddcod Plan or Map Ilazordous Mnlorlols 013eiosuro Survey 13 <br /> Dovoiopincnt Impact MlUgntlon roo roan O Assassor and I iblory Pogo$ > <br /> Norms List ? SowerANalor'Will Sorvo'Lollar• d <br /> Gonornl Plan Mop• O zoning Mop13 <br /> sous noport' Cl Solis Suitability Study' 13 <br /> Subsldortao Area O Yes o Exponslvo Soll Area Yes I] No <br /> ' lhoso nmtcrinls may not ba roquked for certain applications. Chock tho opplienlfon typo for dolnils. <br /> Teritniivo Maps <br /> Map Slgnod by Owner Traci Number and Noma(Major Subs only) 13 <br /> Adjohring Property Owners Names on Mop All Lois Numborod <br /> Contour Lima Location of Well and Septic Syslom <br /> Excnvniton• <br /> noclnrnnlion Plan and Schedule O rinancial Gumanloe d <br /> Typical Cross•soctlons O Elovallorr Coleulmlon Sehodula 17 <br /> Enginoer's Slnnrp O <br /> Complolod Dy: T)6\Ak o6 LA- rjL(l/1� Dale: (O v 1'13 <br /> nppcnn., <br />