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TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
-//4/47
&.6-e/-7'- Arlon 3 4. - 0,1- A,-, . -a ,
owner location / AP #
Driveway permit 490o W&O has been issued for the above property.
si date
.jfSature
I11
� .w r c � �•c'a.' �
14
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One Form per Building)
A.P. Number 14 Building Department No.
School District 1„ City Q County EX] Jurisdiction
Property Owner llerpt
Project Location'/Address IriC��'.2_. dJF. ( C;0
Subdivision Lot Number
Residential Development: '
Sq. Footage 156
# of Living MHI Addition (Group R)
Units
Commercial/Industrial: i Sq. Footage
New Addition (Including Exterior
Roofed Areas)
Building D,�,partment Representative D �X'e
District Id No. �Q QO p1(Cp
U-) ; �-, School District certifies that rl
r ffn - -- 6 �%io- d---, X i S - / 2? -7
(Applicant Name) (Phone Number)
l�
(Street Address)
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. 399 4Q
by the payment of $ 7 representing l SO/ square feet.
School Di!E�_trict,0Reprq%6n.tative —� Date
I v
PAID BY CHECK NO.
,BANK NO CJ jj - 3 �CJi
PAID BY CASH u //9
REMARKS:
white -applicant, yellow -building department, pink -school district
SCHOOL . FEE (5/88)