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r <br /> APPLICATION CONTROL SHEET <br /> Ds`..,, <br /> s� eoinplo3ed by evelopment Snrv(ee ataf� <br /> ProApp Only: O Yos p'N. TT Foo: Receipt Number. Data: <br /> File Number: 3—�U Foe: nocolpl Number: Dote: 2-4 <br /> Filo Number. Fee: Rocelpt Number Data: <br /> Filo Number: Foo: nocolpt Number. Dole: <br /> Description of Pro)oct <br /> i.v o <br /> is u P.,11,r-",e,f <br /> Project Location: YOG <br /> S 4y <br /> Address: 2 Co ZO S thSG W <br /> APN(s): -.ecl—23v —7- <br /> General <br /> -2General Plnn Community: nti General Plan Designation: _. <br /> Zoning Map: LV Z's Property Zoning: —(r 5_ Overlay Zono(s): <br /> Adjacent General Plan Zoning a <br /> North: <br /> South: <br /> Enst: Lf0 <br /> West: S <br /> 100-Year Flood ❑ Yes Pf No Williamson Act ❑ Yes if No Supervisorlal District: 5� <br /> Airport Arca: Specific Plans) ❑ Yes ❑ No: Pp <br /> History: 1), _ S 1`7-1 G w —,,:r $ e- 72 - !3 L IL-Iz-U <br /> a <br /> CHECKLIST _.;'p"- : :" <br /> All Applications <br /> Completed Application Forms d Owners'Signature / <br /> Copy of Deed or Preliminary Tlllo neport` 0, Copies of Plan or Map <br /> 8%'x 1 t'nodueod Plan or Map jY Hazardous Mntorlals Disclosure Survey <br /> Development Impact Millgnlion Foo Form ❑ Assessor and History Pngos K <br /> Nomas List• 19), SeworlWator W11 Servo'Letter• ❑ <br /> General Plan Mnp• ❑ Zoning Map' O <br /> Soils noport` ❑ Solis Suitability Study• ❑ <br /> Subsidence Area ❑ Yes @I,'No Expansive Sell Area Yes ❑ No <br /> • These materials mny not be required for certnln applications. Check the application type for details. <br /> Tentntive Maps <br /> Map Signed by Owner ❑ Traci Number and Nemo(Major Subs only) ❑ <br /> Adjoining Property Owners Names on Map ❑ All Lots Numbered ❑ <br /> Contour Lines ❑ Location of Well and Septic System ❑ <br /> Excavations <br /> noclmmntion Iden and Schedule ❑ Financial Guarantee ❑ <br /> Typical Cross-soctlons ❑ Elevation Calcuintlon Schedule O <br /> Engineer's Slnmp + ❑ <br /> Completed By: 'h -- Dnle: <br /> sppenlr.rm <br />