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CITY OF FONTANA Department of Engineering 8353 Sierra Avenue, Fontana CA 92335 Phone (909) 350-7610 ENGINEER / LAND SURVEYOR Phone: Mobile: Email: Phone: Mobile: Email: APPLICANT Contact Person: Address: Phone: Mobile: Company Name: Contact Person: Address: Company Name: Email: TRACT MAP PARCEL MAP C.F.D. MAP PLAN CHECK PROJECT INFORMATION APPLICATION MASTER CASE No.: (MCN, TTM, TPM, ASP, DRP, BPC No.) Staff Use Only [EMAIL REDACTED] Address: ENGINEERING PC No.: Company Name: Project Location & Specific Plan: Assessor's Parcel No & Address: Description of Project: (Map / No. of Lots) LEGAL PROPERTY OWNER Contact Person: REVISED 9/12/19 - AT/RG Page 1 of 4 ---PAGE BREAK--- OWNER / APPLICANT CERTIFICATION Company Name: information is true and correct. I certify that I am presently the legal owner of the above-described property or can act as an agent Signature: Print Name and Title: LANDSCAPE ARCHITECT Contact Person: Date: Phone: Mobile: Email: Address: on their behalf. Further, I acknowledge the filing of this application and certify that all above REVISED 9/12/19 - AT/RG Page 2 of 4 ---PAGE BREAK--- Provided: Quantity: 2 Sets 2 Sets 1 Set 1 Sets 1 Set 1 Set 1 Set 1 Set 1 Set 1 Set 1 Set 1 Set question, "not a part" area, and other control lines Initials: 4th and subsequent plan check reviews will require additional plan check fees and CITY OF FONTANA DEPARTMENT of ENGINEERING THIS FORM MUST BE SUBMITTED WITH FIRST PLAN CHECK (INCOMPLETE APPLICATIONS WILL BE REJECTED) will be based on Time & Material. Show the establishment of controlling lines or deeds if it cannot be shown on the Final Map All record references used in the Final Map such as: Record of Survey, Tract Maps, Parcel maps, County maps, centerline ties and field books Copy of the Approved Conditions of Approval Latest Preliminary Title Report (within 6 months) Latest Assessor's full size map Grant Deeds of the subject property All Deed references used in the establishment of the Final Tract / Parcel Map Calculations showing the closure and area of the distinctive border Calculation showing the closure of the centerline survey around the property in Final Tract Map / Parcel of Sheets C.F.D. Boundary of Sheets Copy of Approved Tentative Tract Map / Parcel Map REVISED 9/12/19 - AT/RG Page 3 of 4 ---PAGE BREAK--- MONUMENT INSPECTION……………...$40 x No. of Lots GIS ARCHIVE x No. of Sheets SECURITY TRACT MAP / PARCEL MAP PLAN CHECK FEES PLAN CHECK CALCULATION FORM CITY OF FONTANA TRACT MAP 1 - 10 Lots Each Lot over 10 + [$50.00 x No. of Lots over 10 1 - 5 Parcels *Includes ALL Lots (Letter, Residential, Commercial, Industrial, and Remainder Lots) C.F.D BOUNDARY *Includes ALL Lots (Letter, Residential, and Remainder Lots) PARCEL MAP * Includes ALL Lots (Letter, Residential, Commercial, Industrial, and Remainder Lots) Each parcel over 5 ………$1,800 + [$50.00 x No. of Parcels over 5 REVISED 9/12/19 - AT/RG Page 4 of 4