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APPLICATION CONTROL SHEET ' <br /> PrcAW OYa ON. Fee: Receipt Number. Data <br /> o� <br /> File Nom6a: Cr`IC _y K_ 1.et �L(]U Rmdpt Number. (2Z4 2 Data <br /> File Number: Foe Receipt Number. Data <br /> File Number: Fee Recript Number. Data <br /> Project Description: e-N /4en g, 7 <br /> a Va ro ru c <ror. Al <br /> 0. pe64e" <br /> Project L.oatlom ` nim (z 2 �-..�t Ao f4 e <br /> oI f c 41 <br /> Address 9 o 'L L <br /> Enterprise Zone ❑Yes two General Plan Designation: ri-- <br /> Property Zoning: 1AL-4Zoning Map: Ex.rq e General Plan Community. <br /> r.: .�N �"+'.�tt::�kr;'.z�.:'4 "•4.%< �' " a. z zf4. '' ''i�,"LF.` s" : <br /> �� s '"Cseneral`Pian x h. `O IS„ 7anin <br /> ;,„Ad(ieenitand':Use.. a :. a r � a. „ . . ��..,a Fxr7 f�._e... .�bo.4.s$y� <br /> North <br /> South: <br /> Eased <br /> Wcst: <br /> 100-Ye3r Flood 0Ycs¢vo Zone Williamson Act fir?.ON. Prime Soil OYcs❑No CNA <br /> Airport Area: a❑No SpcciGc Plans)❑Ya❑No Supervisorial <br /> Name tTk <br /> Road Names ST,11ict: <br /> History. p L_ 7S^(d9 <br /> ��ayaa? �Sa�fxase ` s Ys>a3 3ay a 3a � xnc $� E� <br /> " � y � 3F'E CI IST AL2.APPE fitt1N5 z �:' s <br /> MN M g <br /> � .� �r�y <br /> Completed Applications Forms Owner or Agent Signature <br /> Copy of Deed or Preliminary Title Report' t7� Hazardous Materials Disclosure ❑ <br /> B 1R'x 11'Reduced Plan or Map ❑ Copia of Plan or Map 5.-- <br /> Soils <br /> a *T;F,,#,maEkSI �X��oa Ta'�it�R�SutEri'Fa1���Atrt�A <br /> Y <br /> Soils SuitabliStudy' ❑ Assessor and History Pages �� <br /> � <br /> [General Plan Map'!Zoning M"* ❑ Soils Report* 13Ya o Expansive Soil ❑Yes o � <br /> Subsidence Area <br /> # <br /> � <br /> � a. ..� c�•iEC1C, KxA�p����,,�r� .DETAI[.x' ;: •. � ?aa.:....»a <br /> «. orokS ,ys : �,<,: xfea�z as+t¢`�vSot' dx t"' ,a.8;c $ r x. Jae. <br /> Map Signed By Owner ❑ Tract Number and Name(Major Subdivisions Only)(3 <br /> tf.ka <br /> Property Owners Names on Map ❑ M Lata Numbered ❑ <br /> Una ❑ Location Well Septic ❑ <br /> �.,.s- e�cr&"ion Plan and Schedule ❑ Financial Guaranteeross-Sections ❑ Elevation Calculations's Stamp ❑ M.R.Z❑Ya CNo <br /> d Dy: � Gw Dates <br />