HomeMy WebLinkAbout021-020-025m
'
--------- ^-_-------- %�r
+
EJ
m k
❑ APPROVED ® CONDITIONALLY APPROVED
z-23-o� PERMIT CLEARANCE
Permit #:
ou - �n V.
Genera/Informab%on
Owners Name:
V 4 k)
Owners Address:
Minimum Acreage:
Building Site Address:
❑ RESOLVE PROBLEMS PRIOR TO APPROVAL
Date:
AP#: zr� % .--•0di _
Parcel Acreage: Sq —) 0 -1-1 C
Properiyl7f0rma&0V7
Permit Type: ❑ Agriculture Building ❑ Commercial ❑ Industrial ❑ Mobile Home ❑ SFD ❑ Residential Accessory
❑ 2nd Dwelling ❑ Multi- Family >2 units per parcel ❑ Septic Well El Other
Zone District: A— Date of Zoning Ordinance:
General Plan: D -P C— Development Agreement:
Use Permit:
Variance:
Parcel Is In: Land Conservation Agreement
® No
❑ Yes, check use
Minimum Acreage:
Nitrate Action Plan
No
❑ Yes
Violation Area
❑ No
❑ Yes
Specific Plan
No
❑ Yes
❑ Chico ❑ D2N ❑ Cohasset
Enterprise Zone
No
❑ Yes, check use
Floodplain
%No
' ❑ yes
Zone:
Height
Panel Number:
No
❑ Yes
Watershed Protection Zone
-
Proposed Use Complies With: W General Plan
Zoning
Proposed Use Requires: ❑ Use Permit
❑
Minor Use Permit
❑ Administrative Permit ❑ Accessory Building Use
Commercial/Industrial/Multi-Family Uses:
Parking: ❑ Parking Requirements are OK as Shown
Landscaping: ❑ Landscaping Requirements are OK as Shown
Road and Drainage Improvements Required: ❑ No . ❑ Yes
Applicable Setbacks:
❑ Other
❑ Other
Zoning Code
Street & Highways
Fre Prevention
Subdivision May
Front
C'
Side
Side street
Rear
25
-
Height
39fa• 49 A(
Environmental Health Issues:
Par
Septic Permit Review: Agriculture Affidavit Required ❑ No ❑ Yes
Well Permit Review: Designated Well Site ❑ No ❑ Yes
Land Development Review: Drainage Plan (Com/Ind/Multi) ❑ No ❑ Yes
Deeds Date of Creation: 4 -I Z - / `I Legal Access Provided: ❑ No ® Yes
Deed Reference: Legal Access Required: ❑ No ® Yes
Parcel Frontage on Publicly Maintained Road: ❑ No ®Yes, Road Name: G+o�o S P��,o L✓Ar 1
Complies with County Standards for Deed Creation: ❑ No ❑ Yes
Comments:
S,2V(-t�tiC-`iEf 6rr�A—,r( fjAo 40 Ac�Lcs w,r-AcelSs.
❑ Map Date of Recording:
Lot: Block: Book: Page:
Conditions That Must be Met Prior to Issuance of Permit:
❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Creation Deed
❑ Comply with condition no. of conditions of approval for the
❑ Obtain a Certificate of Compliance (See Planning Division for application).
❑ Construction across property lines is not permitted (See Land Development for a Merger Application/Lot Line Adjustment).
❑ Comply with Old Subdivision Lot Ordinance (Maps Recorded Prior to Book 17 of Maps Page 23).
❑ Construct road to
❑ Other
General Comments:
AI41N3Wd0l3A30 dMfl
3111 IS 30 &LNI 103
LOOZ 0 Z 914
a3n13a3a
❑ Meet parcel size required by zone ❑ Meet current EHD requirements.