HomeMy WebLinkAbout017-280-009II
01/ Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
E.IkC USE ONLY
!. USE
R02 Plan Anac ad
Floor Man A ft
Sant to S.D. I
f I _z;7 -f N-A—LI
9n -cx5T,
Owner Ckocation AP#
Plan Aporoved-for.: Sewage DisposalX_ Water Sup 3 Y: Public5< Private Well
" - Wfi '� n4i,- !�4_ Q r, -A L' - , a
Clearance for-' , �dwpjli Other , V 14L- CjW _U
YI 1-1 C- IA (I �11 C -M 0 11 V
Hold final for:
Final clearance O.K. for:
NOTE: C_6YY\(YVc)_nI4_Ij\ C,-AOVXI— CZZ,,,S"/VrI
Env*onmental Health Specialist
8/96
FA TI! ;
AIR!
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
School District C V,� Building Department Nob
A.P. Number <3 ` I yU ' W 'sdiction: = City County
Property Owner
Property Location/Address a ""� cl
Subdivision ( 4AA ,t1„(/ — t Lot No. 9
6]
Residential Development
-
:`Noof Living—=
Units
Commercial/Industrial
New
............................................... ...................... -j-.'
' Sq. Footage ✓ V �J'-
MobildHHorri-e-- "°' —Ad0 - 'Supplemental to' "' " ' �'""` "" -(Group ),'
Installation Conversion Permit #
[ '(No foundation inspection): `
....................................................................................................................
Sq. Footage
Addition (Including Exterior
i Roofed Areas)
imoor rians reviewed ov acnooi uistnct rersonneit
District Identification No. 30 5 i (e
School District cerfifies Pal?
"'.na
' > (Applicant)
(Street Address) .% y ] `�/ —/� (Phone Number)
(City)
has complied with the requirements of Resolution No.
representing _ 36y -% -square feet
School District Representative
Paid by Check # — Remarks:
U
-' (State) D (Zip Code)
by payment of $
AB 2926 ' ` $
FULL MITIGATION $
Ami
Date
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the Distq'0gnjcompliance�with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely wn_ tten, protest will prohibit
you from challenging the imposition of the fees in any court action. )
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xis (10/98)dmm
.o l
1
BUTTE COUNTY PARKS DEVELOPMENT FEE CERTIFICATION FORK )
CHICO AREA RECREATI,ON AND PARK DISTRICT•
Assessor Parcel Numbers) •Q/ � t'y+ (00.9
Property Owner Da' 1K'4 , CXILI< 'Jag t14z,-_
Project Location/Address J1419 OO—fL7 2kd " CO
Subdivision Lot Lot Number (s)
Residential Development: (check one)
X New Development _Alteration/Addition Mobilehome(s) ~� Non -Residential
to Residential
Total Number of Dwelling Units
Comment:
r ,
r )JUXL0 (;I� f� 44 - a -6) 31
Building Department Representative) _ Date./',Ll
�`•'
-i
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•Chico Area Recreation and -Park Distr,ict(CARD)�certifies that
15C I?
(Applicant Name).
(Street Address)
tco
CA
(City)
(State)
(Phone Number
t�
(Zip Code
has complied with
the requirements
of Butte
Co. Resolution
No.
90-140 by
payment for
dwelling units @
$1,189 for
total payment
of
$
Q6jin �� -2ZJ
CARD Represent „•ive
PAID BY CHECK NO.
REMARKS:
BANK NO.1 /-?f11
��0
PAID BY CASH
RECEIPT NO.
Distribution: White --Applicant
Pink --CARD
park.fec (form revised 11/90)
41Z A R..
Date
Yellow --Butte Co. Building Dept.
Goldenrod --City of Chico Building Dept.
14+102/0'1 #3791 tl:t7Ifoo 4!;TGTAL $1189,00
0