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HomeMy WebLinkAbout018-440-111INTER -DEPARTMENTAL MEMORANDUM _q7q TO: BUILDING DIVISION, OROVILLE FROM: ENVIR. HEALTH, CHICO DATE: RELEASEENV. HEALT14 ifOLD ON BUILDING FINAL FOR: OWNER NAME: SEPTIC: V1 WELL: AP#: ADDRESS/LOCATION: 60YO7-E 60,4V Comments: GL/memos/releasehold BUTTE COUNTY PARKS DEVELOPMENT FEE CERTIFICATION FORM CHICO AREA RECREATION AND PARK DISTRICT Assessor Parcel Number (s) 0/ / -- / 0 O / O Property Owner%�i Ck0.1 W K be e c �. /�•'iri.a.� /C P%�s�/ Project Location/Address S8 y. L•/J 17 y v .L 0,4 1, e c e Subdivision Lot Number(s) Residential Development: (check one) New Development _Alteration/Addition Mobilehome(s) Non -Residential to Residential Total Number of Dwelling Units Comment: Building DeparRment Representative Date Chico Area Recreation and Park District(CARD) certifies that (Applicant Name) V (Phone Number) C I (Street Ad(aress) V C14k\ G1 rj (�-A (City) (State) (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 $ CARD Representative Date PAID•BY CHECK NO. REMARKS: BANK NO. -j_ 97) 4 y 0 PAID BY CASH IMOMMMUSIM Distribution: White --Applicant Pink --CARD park.fee (form revised 11/90) Yellow --Butte Co Building Dept. Goldenrod --City of Chico Building Dept. U 00101953 School District .-A.P. Number Property Owner. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) C—;-,4 ( n UAL 1 "T' t e 1 I Building Department No. 0/1' 00 /01 Jurisdiction: City County Property Location/Address Subdivision Lot No. Residential Development Sq. Footage No of'Living Units Mobile Home Installation Addition/ Conversion 'Supplemental to (Group Permit # ' ................................................................................................................... '(No foundation inspection)' lao8'.. _ t' Commercial/I'ndustr'ial �� �''y • ' .�::�. -�., . ; T Sq``FootageA' se.r•.� .&�::�._,�ti.•tb ;+f,. � t.. 1 New Addition (Including Exterior Roofed Areas) 99 Building Department Representative Date U(FloorPla reviewed by School District Personnel) District Identification No. ``•"�' Sohool District certifies that , " (Applicant) (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. 7O by payment of $ pl 3.3! representing / p? i✓� square feet. School District Representative ' I t � Paid by Check # ' / Remarks: AB 2926 $ FULL MITIGATION $ Date i ` !/ 0 Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Feilure to submit a timely written 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 Agericy.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 (10/96)dmm