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APPLICAT[ON FORIAM USE PERMIT AND VAC
Charlese1
il^of: owner
Daie Tiled: �€,.}. € a
SHEET NO_ ':[ Dale of Hearing
i
36
ZONING- DISTRICT: ` " - ` rSESSOR.`S MAP HOOK 'PAGE N
O
� rise ?emlt. for Trailer Court
REQUEST.. -_
Chas. M. Du - el 3—T
APPLI ANT'S NAME: PHONE. -
ADDRESS-.,, Roe- -5,: Box 58213 CToville.. Calif€ mia:
STATUS OF APPLICANT'S: INTEREST IN PROPERTYz
01VNI:R`S NAME:: PP'ONE:
ADDRESS
DESO PTIt�N= Or PROP£ItTV. Said properly is loco€ed - a Palermo v i gad* _ sce of C-ro :ter
N.
consisting of a.=aprGs i atel r 5 cre
36-292-26) 4. 63 Acres
EXPLAIN. FULLY REASON EOR SPECIAL USE:
z
Thea'pcate s purchased g_fo'-. A. -.mnhaYite
has prevsousl fi 'beea. approved by f he T lanning Gb=rillss1mn or a 'jra * er Gourt
it is the in eliu, of The abave apnIca`xt to bid the Trier- Court and :milll
comply viiia the - iew restrict rs of the Butte County Traile- Ga Ci-dinance
The above s:aiemenfs ace- cerFified by fhe undersigned to 6e correct.
A�
- Signature of Applieaak
F%ase snbnuf.bere Witii;a check or, money order: im the amometo Tea.DooUma s ($1100) paykble to Caunty of Bute; also a defsiied
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. ` Biot plan ; owing the lova as of ems an
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31,5 WALL sTRF2 EI 2$3a MRZY STREET
CHMO. CALWORRIFcPERMIT
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To "=cc a Sepdc Tank Systear ;
Lace issued ......,.
k €DATF- � arm W_ iEMXi as uZ ci I
Permit Issued' to.r .......... ... ....
Tu construct a septic tank system for.... ...... �...........w
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SEPTIC TANK SY,TE :f REQU'IitEbiEN'S
Septic rank=
UnAlUe measurements ZeachMg,_VICeYa..
LengthF <._...._, ..Y.......y fr� Tatal Length:.<. w.... ..: A:... fr.
tt
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Width:. . #c� T'reacTf inches_
Liquid: tTeptb,......._...< fz«linimtiva No. of lines;
R4ctr udder Crile *.t. inched
Special conditions''., . F , '. .'»a. ";► ....«
,additional Teaching field will he zequired if experience shows it to he necessary, '4'q'M part of the system
may be located within 5Q ft., of the center Zine of any Cou= Road,
IgOTE. Sadsfactotg iuspecrion by the Health Department is req reci befare baokf llin&;s
putting: the system ,into. use_ Occopaucy of a new bu Tding is not permirte until the,
systems is appro-ecl. -
Permit. Fee Penalty Fee Sdotal Fed
Issued: By:
�" "Saaicari�
receipt Ig`o._
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