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M <br /> APPLICATION CONTROL SHEET <br /> r k t p f r5; .i rCp s�asi ass <�3€'4`�rz 1+1 <br /> ,To ba eoinjrlo16d,b�+Daveltiptnotrl.SaW�ce rintl.�: � �ri• ;I�f�u ;r r�� �.� <br /> rroApp Only: ❑Yos to Foo: noccipt Number: Dole: <br /> rllo Numbor: �� <br /> %VI 5—� 3 — (D`L foo: I,(p G1 nocolpl Numbor. �0�2_173 Onto: <br /> rlio Numbor: Foo: nocolpl Number: Delo: <br /> Filo Number: Fan`: nocolpt Number: Dole: <br /> Doscripllon of rro)oct <br /> iia n� rev I Er Yo 4�fece— <br /> rroloct Location: c1 1 <br /> -e „ 1 `c C C4-z <br /> WcsF r> (- C(crM�til� (2r� <br /> Addrays: r) 7 Z <br /> ArN(.): O(�s—f V r,_ <br /> Genornl rinn Communily: Gonornl rinn Doslgnnllon: <br /> 70111ng Mnp: property Zoning: Ovoriny Zono(s): <br /> 1 Adjacent Ocnornl rinn Zoning <br /> 1401111: t kj (--Yu <br /> South: y 0 <br /> Ensl: (-_yo <br /> we-,t: 6-- ya <br /> 100-Your Flood ❑ Yes f to Wllllnrnson Act P'los ❑ No 1 Suporvlsorlal District: r_I <br /> Airport Aren: Specific rinn(.) ❑ yes ❑ No: <br /> I n:toly: /c <br /> C) KLISt <br /> All Applications <br /> Completed Appllcnllon rornrs Pr'— Owncls'Signature l� <br /> Copy of Decd or rroilminmy vorr nepoll• lY Copies of rinn or Mnp B� <br /> o%:x I I'noducod rinn or Mnp I Inzardous Mnlorlals Dlsclosuro Survey ❑ <br /> Development Impncl Mitigation Foo roan ❑ Assos;or and history rages jy <br /> f4nrrros List' U-/ Sower/Woler'WIII Sorvo'Latter• Q <br /> Gonorni rlmr Mnp• ❑ Zoning Mnp• ❑ <br /> Sons nopoit• ❑ Soils Suitability Study• ❑ <br /> Subaldnnco Arca ❑ Yes ❑ No Exponslvo Soll Arca ❑ yes ❑ No <br /> • 1 peso mnlerinb finny not bo roquhed for certnin npplicnilons. Chock I110 nppllcallori typo for dolnlis. <br /> TeWnilva Maps <br /> Mnp Signed by Owner rf-- Troct Number and Noma(Mnjor Subs only) ❑ <br /> Adjoining rroporly Owners Nnmes on Mnp Q," All Lots Numbered ❑ <br /> Coniour Lines ❑ Loeniion of Well and Soplle Systom ❑ <br /> Excavations <br /> nocimmnllon plan and Schcdulo ❑ rinnnclnl Guninnloo ❑ <br /> Typlcnl Cross-oocllons ❑ Elovnllon Cnlculnllon Schodulo ❑ <br /> Englnocr's Stamp ❑ <br /> ----------- ------ <br /> IC.-pinlod Dy: Dnto:-- - -1 <br /> U -ZS— � <br /> ni,pelm .nn <br />