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LAND DEVELOPMENT SHEET .
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LAND DEVELOPMENT SHEET .
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I ❑ APPROVED CONDITIONALLY APPROVED ❑ RESOLVE PROBLEMS PRIOR TO APPROVAL
PERMIT CLEARANCE Q A,
Permit #: Date:
Genera/Information
Owners Name: 14C-04--) ['11P /'Yi-S
Owners Address: 9D u l ��xi l 9 � , 6j`
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Building Site Address: ,iJ 1 [
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Proverty Information
AP#: "' 0qn -- D &�
Parcel Acreage: A
Permit Type: ❑ Agriculture Building ❑ Commercial ❑ Industrial ❑ Mobile Home ❑ SFD ❑ Residential Accessory/�
El 2nd Dwelling ❑ Multi -Family >2 units per parcel ❑ Septic )� Well ❑ Other �G %L[ r L,f )L4 /Ai WAP
Zone District: ("—I O Date of Zoning Ordinance:
General Plan: Development Agreement:
Use Permit: Variance:
Parcel Is In: Land Conservation Agreement ❑ No I* Yes, check use Minimum Acreage: C), A C—
Nitrate Action Plan ISNo ❑ Yes.
Violation Area J'No ❑ Yes
Specific Plan jj No ❑ Yes ❑ Chico ❑ D2N ❑ Cohasset
Enterprise Zone No ❑ Yes, check use
Floodplain ❑ No ®Yes Zone:
"Watershed Protection Zone jffNo ❑ Yes
Proposed Use Complies With: 5 General Plan 9 Zoning
Proposed Use Reauires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit
Commercial/Industrial/Multi-Familv Uses:
Parking: ❑ Parking Requirements are OK as Shown ❑ Other
Landscaping: ❑ Landscaping Requirements are OK as Shown ❑ Other
Road and Drainage Improvements Required: ❑ No ❑ Yes
Applicable Setbacks:
Panel Number:
❑ Accessory Building Use
Zoning Code
Street & Hi hwa s
Fire Prevention
Subdivision Ma
Front
Side
Side street
Rear
Height
Environmental Health Issues:
Septic Permit Review:
Well Permit Review:
Land Development Review:
Parcel Created by:
❑ Deeds
&Map
Agriculture Affidavit Required ❑ No ❑. Yes
Designated Well Site ❑ No ❑ Yes
Drainage Plan (Com/Ind/Multi) ❑ No ❑ Yes
Date of Creation:
Deed Reference:
Parcel Frontage on Publicly Maintained Road:
Complies with County Standards for Deed Creation:
Comments:
Date of Recording:
Legal Access Provided:
Legal Access Required:
❑ No ❑ Yes, Road Name:
❑ No ❑ Yes
PM
Lot: if Block:
Conditions That Must be Met Prior to Issuance of Permit:
❑ Verify Legal Parcel ❑ Verify Legal Access
❑ Comply with condition no. of conditions of approval for the
❑ No
❑ No
Book: I I .S
❑ Provide Creation Deed
❑ Yes
❑ Yes
Page�D
❑ 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 ❑ Meet parcel size required by zone ❑ Meet current EHD requirements.
❑ Other
General Comments: