HomeMy WebLinkAbout027-130-021s
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SITE PLAN REVIEW APPLICATION
J �
Date: / �� L} �> AP#
Permit Number (if applicable) i - Bin Number
APPLICANT INFORMATION Parcel Size:
Owners Name: Saw(•1��
Owners Address:
Telephone No.:
Site Address:
e
D(
Proposed Use: Zone: A
Residential G.P.
❑ New Single Family Residential
❑ Single Family Addition
El Single Family Remodel
❑ Mobile Home
❑ Residential Accessory
❑ Permanent Second Dwelling: '
❑ Temporary Mobile Home (Aunt Minnie)
❑ Temporary Travel Trailer
❑ Multi -family
Non-residential
❑ New Commercial
❑ Commercial Addition ❑ Commercial Remodel
❑ New Industrial
❑ Industrial Addition ❑ Industrial Remodel
Other
❑ Septic /Well
❑ Agricultural Exempt Building ❑ Agricultural Buffer Form
❑ Other:
Brief Explanation/Issue: (L211
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DEVELOPMENT SERVICES INFORMATION (For Staff Use)
47 -Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval
❑ Resolved
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By C� L Date
i
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
❑ Williamson Act Minimum Acreage: ❑ Residence can be built per contract
❑• Watershed Protection Overlay Zone
SRA - (CDF to determine specific requirements)
100 -Year Flood Plain:
• Flood Zone:
• Flood Panel No.: Index Date:
❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ North Chico Specific Plan
❑ Chapman/Mulberry
❑. Cohasset Area
Use Requires:
❑
Use Permit
❑
Variance
❑
Agricultural Worker Affidavit
❑
Administrative Permit
❑
Minor Use Permit
❑
Minor Variance
Zoning:
Applicable Building Setbacks:
General Plan:
❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
❑ Use Permit/Minor Use Permit
Permit Number:
Date of Approval:
2
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
Side
S ,
�U
Side Street
Rear
Height
Waterway
N/A
N/A
N/A
am
❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
❑ Use Permit/Minor Use Permit
Permit Number:
Date of Approval:
2
z �
Parcel Created By:
Q . Deeds:
Date of Creation: Legal Access Provided: ❑ No ❑ Yes'
Deed of Reference: Legal Access Required ❑ Noyes
Parcel Frontage on Publicly Maintained Road: F] No Yes, Road Name: No ❑
Complies with County Standards for Deed Creation:❑ No ❑ Yes
Comments:
❑ Parcel Deemed to be legal
❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation
❑ Obtain a Certificate of Compliance
❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment
❑ 'Construct road to: ❑ Meet Parcel size required by zone
❑ Meet current Environmental Health Department requirements
❑ Subdivision Map/Parcel Map:
Map Date of Recording: a ' aG' q)
Lot: Book: a- ( Page:
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