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AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
202-0168334
Recorded
I REC FEE 7.00
Official Records
I CONFORM 1.00
Count, Of
COPIES 2.00
BUTCANDACE
i
J. GRUBBS
I
Recorder
I
ROSEMARY DICKSON
I
Assistant
I Cheryl
11:39AM 12 -Dec -2002
I Page 1 of 1
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, p
and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals,
including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm
operations.
All that real property situate in the County of Butte, State of California, described as follows:
Date—d2— PROPERTY OWNERS:
Errr 0
.� ! I 1 ` 101'
State of California )
Countyof Z(At - e )
On K)(>V. % LI, 2002- before me,
personally appeared Iii 0,cn rt 1 CAn d K . (Cr,,"n S personally
known to me (oro oved to me on the basis of catisfactory eviden e) to be the person(s) whose name(s) is�q subscribed
to the within instrument and acknowledged to me that he/she6p executed the same in his/her er authorized
capacity(ies), and that by his/her(! ie ignature(s) on the instrument, the person(s) or the entity upon behalf of which
the person(s) acted, executed the instrument.
WITNESS hand and official eal.
Signature - Seal:
ERIN A. STEPHENS
Commission # 1341878
A.P. #
z
i y Notary Public - California is
Santa Cruz County
My Comm. Expires Jan 28, 2008
LAND DEVELOPMENT
BUILDING /ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Buiiding Permit No.
Address: Plan- 'ls /1r/4S t2�11
OWNERS L � � Parent/Previous
P ent/Previous AP:
NAME: /T A"/l--/i-/.S 0 NUMBER:
PRINT LAST NAME FIRST
COUNTY ZONING �' v
DESIGNATION: FIZ FLOOD ZONE: FLOOD MAP: Z�
APPROVED: CONDITIONALLY APPROVED: RESOLVE PR•OBLEE PRIOR TO APPROVAL:
PARCEL CREATION BY DEEDS OR MAP v 3 G • 70 A C
J
DEED INFORMATION:
DATE OF CREATION: DEED REFERENCE:
' LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO
COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO
COMMENTS/CONDITIONS:
MAP INFORMATION:
DATE OF RECORDING O 2 B% LOT 4 BOOK 09 PAGE /S
COMPLIANCE WITH OLD SUBDI ION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT
PAGE 23): YES V� NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW:
A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements.
CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED.
1. Maintain a 50 ft. building setback from centerline of road. / VS424. j H /t t Jr /eV
_ 2. Maintain a ft.building setback from right-of-way/centerline of
3. Comply with Zoning code for building setback from road.
_ 4. Maintain a 100 ft. leachfield setback from all existing wells.
5. Maintain aft. leachfield setback from
S EYE T/ e- r --/z- E� S'ETt3 fK /f )2:, 09 M / g)
6. Pay water tender fees in the amount of. $ to Battalion Number of the Butte County Fire epartment.
X7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290.
_ 8. Connect to a public water supply.
_ 9. Connect to a public sewer system.
_ 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National
Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile
homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department
specifications, serves the parcel.
— 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $
_ 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below)
_ 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010.
14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $
in the Oroville Area Traffic Mitigation Fee Agreement. Pay paW fo be ammis fo dw PAwning Dirrision.
as stated
_ 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic
safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3
requirements of the Uniform Building Code.
_ 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors.
X 17. Pay school impact mitigation fees.
X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte
County Code.
_ 19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California
Clean Air Act of 1988 as amended.
_ 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find
pending examination of the site by a professional archaeologist. This person would then be able to assess the site
significance and suggest. appropriate mitigation measures..
21. S IOC? M x=0 2 & 0 O —T1 o N OF V SEfiG L 57 . EW'*4-G 1-57
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Mt Pbn AURchad L--"
Flo" Plan Amached t7,
Scat to B.D.c;?-c2-S---?-7
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
�0
Owner- Location AP#
Plan Approved for: Sewage Disposal 1-� Water Supply: Public Private Well
Clearance for li—bedroomjKobL—ilebome. Other
Hold final for:
Final clearance O.K. for:
NOTE:
Envifon-mental Health Specialist Date
8/92
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