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APPLICATION CONTROL SHEET <br /> f � c x a� i. ss f,IzS <br /> m �d bo c:omplolei��� <br /> b6 4W S�6tvice"i1h1 s 1t� ;r>>) <br /> ProApp Only: ❑Yos ❑ No roo: nocolpt Number: Dale: <br /> Filo Nuutbor: I"lc?_-L� �y roo: ( ((ov• nocolpt Numbor: y2 b V Dolor <br /> rite Number: roo: nocolpt Numbor. Dole: <br /> rile Number: roo: nocolpt Number: Dole: <br /> Doscrlpllon of Project I" t jo - S-" I Vi S1(JrJ NOPI-1 <br /> nl�db� C `o'Z.SrJ Pailt3 . <br /> I�r c I `Ty c-,)- „-3 2,c� r .� r,"j-0 <br /> ProjectLocnllon: (,s�J <br /> Addross: GfSZ1F V (LNEYt_ (2c-ao <br /> t�( C ia, GZG-L-�J APN(s): G25/- MO- oZZ <br /> General Plan Comrnunlly: Gonomi Plan Designation: UFG <br /> Zoning Mnp: 6u Properly Zoning: Ovariny Zono(s): <br /> Adjacent General men Zoning <br /> Norll,: {krc Q <br /> (I it <br /> South: <br /> It <br /> Ensl: 0 <br /> Wet tt <br /> st: !. <br /> foo•Yonr rlood ❑ Yes o Willlornson Act ❑ Yos �12-No I Suporvisorlal District: 4 <br /> Airport Arca: Njooc Specific Plon(s) ❑ Yes td<vo: <br /> I llstory Nc-,�d u <br /> C) <br /> y / y 2:(CCj\LIST <br /> All Applications E <br /> Completed Application Forms �( Owners'Signature �I <br /> Copy of Dead or Prallminnry 71110 nepotl• Copies of Plan or Mnp <br /> 0'/;x I I'noducod Plnn or Mop @� I lazordous Materials Disclosure Survey ❑ <br /> Dovoloprstent Impact Mitigation roo roan ❑ Assessor and History Pages §� <br /> Names List• Sower/Wator'Will Serve'Letter• ❑ <br /> General Plon Map• ❑ Zoning Mop' ❑ <br /> Soils noport ❑ Solis Suitability Study' ❑ <br /> Subsidence Arca ❑ Yes o Expenslvo Soil Area ❑ Yes No <br /> ' Tiscso rssnictials may not be required for ectinin applications. Chock the application typo for details. <br /> Tentative Maps <br /> Mnp Signed by Owner Tract Number and Name(Mnjor Subs only) ❑ <br /> Adjoining Proporty Owners Nnmes on Mnp All Lots Numbered <br /> Centaur Unca Location of Wall and Septic System <br /> Excavntlons <br /> noclnrnntlon Plan and Schrdulo ❑ rinanclnl Guarantee ❑ <br /> Typical Cross•socllons ❑ Clovnllon Colcuiallon Schodufe ❑ <br /> Engineer's Stnmp ❑ <br />