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HomeMy WebLinkAbout027-290-044��1 SITE PLAN REVIEW APPLICATION Date: / -- - —L> AP# cs , �0 7 Permit Number (if applicable) Bin Number r Owners Name: Owners Address: Telephone No.: Site Address: Proposed Use: Parcel Size: �C y I r���Y a7y� 6-3 /,5'/ -,2 Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ 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 ❑ New Industrial ❑ Industrial Addition Other W Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation/Issue: ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form Zone: GP: DEVELOPMENT SERVICES INFORMATION (For Staff Use) Z Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Resolved By ��'/��/(�%C/%197 Date L�1%��i r 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: Zoning Code Streets & Highways Fire Prevention Subdivision Map Front coo . Side 3� Side Street Rear 3 � Height Waterway N/A N/A N/A ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Created By: Q . Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: 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 ME/Parcel Map: Map Date of Recording: _ Lot: 3 - MW 3 0 Page: R 01Q1 SITE PLAN Assessors Parcel Nu ben ❑ ® ® — ❑ ® ® — ❑ © 21 Scale: 113= KO Address / Phone No. PD E24 22 u I I R Site Location LGA -i4 -Zd e. X Contact Name Phone S^3 o r42DM FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres L 4.00' PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: