HomeMy WebLinkAbout018-440-108TO: Building Department
FROM: —Encrotchment Permit Section
RE: 'D-kiveway Clearance
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Driveway permit A"6-4alelleel-
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. signa/ure
— has been iss.ued for the above property.
date
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BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One Form per Building)
A.P. Number, 8_0 Building Department No.
School Districts U City = County L Jurisdiction
Property Owner ,.j an U L',r_ i "TC -
Project Location/Address 0_,(()
Subdivision Lot Number
Residential Development:
Sq. Footage 55(0
# of Living MHI Addition (Group R)
Units
Commercial/Industrial:. O Sq. Footage
New Addition (Including.Exterior
Roofed Areas)
Building Department Representative Date
(Floor Plans reviewed by School District Personnel)
District Id No.
an' -1, a School District�certifies that
(Applicant Name)'.. (Phone Number)
(Street Address)
CoA QS�lal
(City) (State) (Zip Code)
has complied with the requirements of Resolution No.
by the, pa ym nt .of $ �( representinq square feet.
School.District Representative Date
PAID BY CHECK NO. � REMARKS:
BANK NO
PAID BY CASH
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA — 534-4541
Address or location of mobilehome
Owner's name
Owner's address
Insignia or hud number
Manufacturer's name
Serial number of V.I.N.
(Official Approving Installation)
PERMIT NO.
Year of manufacture
(Date)
IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION
ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE
MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM.
513B White - Owner, Yellow - Installer, Pink - D.P.W.
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