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026-250-020
SITE PLAN REVIEW APPLICATION Date: _-C AP# Permit Number (if applicable) Bin Number APPLICANT INFORMATION Parcel Size: Owners Name: 00 1� Owners Address: l C ;-� V4 Telephone No.: Site Address: k" Yt in Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation/Issue: ❑ Commercial Remodel ❑ Industrial Remodel Well ❑ Agricultural Buffer Form Zone: " S GP: Lp —re - DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Resolved By Date / c 1 2006 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: Williamson Act Minimum Acreage: 0 ✓ Residence can be built per contract ❑ Watershed Protection Overlay.Zone ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: • Flood Zone: • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑. Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan Chapman/Mulberry ❑ Cohasset Area Use Requires: ❑ Use Permit 0 Variance ❑ Agricultural Worker Affidavit ❑ Administrative Permit ❑ Minor Use Permit ❑ Minor Variance Zoning: k " Applicable Building Setbacks: General Plan: U2 ❑ Setbacks identified onsite Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: .. Date of Approval: 2 2006 Zoning.Code Streets & Highways Fire Prevention Subdivision Map. Front -,20( Side JC Side Street Rear ' Height Waterway N/A N/A N/A ❑ Setbacks identified onsite Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: .. Date of Approval: 2 2006 .a Parcel Created By: %Z Date of Creation: 01 4 Legal Access Provided: ❑ No 9 Yes Deed of Reference: - Legal Access Required ❑ No fff Yes Parcel Frontage on Public y Maintained Road: ❑ No N Yes, Road Name: Complies with County Standards for Deed Creation:❑ No 11 Yes -� Comments: aza— 1 ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements ❑ Subdivision Man/Parcel Mme: UJ,2 Pa" %�.S Map Date of Recording: Lot: ILt Book: 7 Page: -2 3 2006 SITE PLAN ................... .................... ................... ............... ---------------- ................... ................... ............ ...... ............ ............ ...... . ..... : ..................... .................... ................... .............. .................... .................... ...... ................................ ............. ...... ...... ------ ....... ............ ..................... ............ ...... ...... : ............. .................. ............. ...... ............ ...... ...... ............. ..................... ..................... ............... ..................... ................... ................... ................... ....... 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Z . . .. . . . . .. . ... . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . .. . . . . . .. . . . .. . . . . . . . . . . . . . . ............. . . . . . ... . . . . . . . . .. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..... . . . . ... . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . * . . . . . . . . . . . . . . . . . . * . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . * . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .. . . . ... . . . . .. . . . . .. . . 7 . . . . . . . . .. . . . . .. . ... . ... . . . . .. . . . . .. . . 7 . . . . . . . . .. . . . . .. . . . . . .. . . . . .. . . . . ... . . . . . . . . . .. . . . . . . . . . . . .. . . . . .. . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .. . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . APP L ' 7 -7 .......... .................. .............. ............ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 ......... . . .. . . . . ... . . . . .. . . . . . . . ... . . .. . . . . . .. . . . . . . . . . . . .. . . . . .. . . ............. . . .. . . . . .. . . . . .. . . . . .. . .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 . . ... . . . . .. . . . . .. . . . . . . . . . . . . . . . * . . . . . . . . . . . . . . . . . . . Assessor's Parcel Number Scale: 1 Owner Name M oma. La 0 Address / Phone No. 754 Site Location A) a &n% - Contact: P.1 Phone gt-5 if -2 - ;.I :IZ - - k/ I A October 23, MM FOR OFFICE USE ONLY .Zoning: General Plan Desig: Size, Acres 4.0.0" PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: