HomeMy WebLinkAbout036-510-048zr t INC AP# 03C-510-048 iJP
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GENERAL CLAIM
el CLAIMANTt NRC; TNG.
�> ADDRESSt 4514 PACIFIC HEIGHTS ROAD
CITY "& STATS: OROVILLE, CA 95965'
IMPORTANT;
DATE QF CLAIMt SEPTEMBER 14,. ' 1989 SEE INSTRUCTIONS
ON REVEFISE SIDE
SUBMIT CLAIM''TO 'DEPARTMENT RECEIVING 'GOODS OR SERYLS
DATE
DESCRIPTION OF CLAIM (DESCR`IBE FULLY,i
`V,
AM 0`UNT
09/14/89
REFUND OF FEES APPLIC"TION TAKEN TN ERROR
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$ 37
50'
(Planning Department)
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..— TOTAL
$ 37
OLL
[, L the undersigned, declare under perjalty a[ perjury- th1 the 6rytces aitic
-or les• Maimed have n per[ormed l►ve d, nd that thla
al al is irue and correct as stated.
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Dated 'thls % �t p
13 o
Cali[t�,,,.,...
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�Signatu
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ot'C1almant
[; thq undersigned, hereby realty that,' to the bas: of my knowledge, the 'services ,or arilcleo ape led 'above have b--
ad or de•
Ilve ad shd that there J. o Budget Approprlation�or Spacl[Pe Hoard A royal
ra Pp (Chackone) fort omen
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tad th1e,,�`��� day o[cll�%4rGrSiYk at, CaUf
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Daporhnen't teed or,Authorized Deputy
Dept 4$0 001 E=P
Cada „ ........ Code ...,:: ,........i :........PAY ,HLC FROM 210900-211151
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DO ,NOT' WRITE BELOW THIS LINE AUDITOR'S ;UBE ONLY
DEP'(, &SUB. PROJ. SUB. OBJ`. CLAIM NO. INV. NO, INV. GATE ENCUMB. GROSS AMT,
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ORtq?/ll.l. E, rAl.'I�0R1'IA
GENERA: CLL, IA
�lL`AIMA'T:; INC.
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4515 PACIFIC HEIGHTS ROAD
y!►pDRESS:
OROVILLE. `CA 95'96`5
CITY.& STATE: _ IMPORTANT:
SEPTEMBER 14, 1.989 SEE INSTNUCTIONS
'DATE OF CL,AIMs ON REVEFxSE.SIDE
SUBMIT CLAIMTO DEPARTMENT RECEIVING GOODS OR SERV;TCES<
DATE
DESCRIPTION OF CLAIM (OESCRIB,E FULL; Y TO AVOID DELAY)
AMOUNT
9/14/8;9
REFUND OF F9ES ;— APPLICATION TAKEN IN ERROR
$°$
0.0
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TOTAL
$ 38
00 -
f, the u-nde0eload,, declare underr,penalty ,of per that thti ser'vibea ,or srttciee clalrited have been performed ordeilvgred, and that thle
claim le true antl correct -jab,.`stated;
Dated 'thla..ue day of 19 s
Slgnetbre of Clolronnt
X+ the undersigned; hereby certify thot, to `the best of my knowledge, the services ar orticles Dpecifled ubova Nave been perlormed or de•
livered :end that there iso Midget Appropriation or Spncitic- Moard' Approvat Q (CheckPone) for the same:
Dated ihie: .,. ;, day of .a,
Hcad or Authodzed`Depbty
Department
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Code „„ , . , GJde ,> ,u..... a.. PAYABLE FROM F 10o.F
..6..i1;490
DO` NOT WRITE BELOW THIS LINE AUDITOR'S USE OILY
DEFh"tl & SUB pFiOJ. SUS O J. CLAIM NOr INV, NO:. INV, DATE ENCUMFJ. GL_ SSAMT '
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A PL1� '�'141V�OR USE . P..kR T
E30 COUNTY LQ NNING "COMMISSION
'�'"'�QC�: arn'rt
APPLICANT: Read and follow Instructions as set ft•r,ly 0 attached shest.
OrnviUe, �aliibreky �
A / V �
pplicant's Hama �
Phone No.
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'Applicant's, maf Iing; address'taJ'
Appalcant's' Interest' In prope (Owner lessee, other)
Owner's name and address
Contact person Jpr project (If,otheii than app11 nt
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Assessor's parcel number(s) - RC1 -- t'.Q-�'_ Present zoning
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Location end'size"of parcels) ^-
Street address
Directions for travel to property (rural and mountalncua areas only)::_ ll _
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Descrlptlon of propg"sed development •
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Desgription of existl,ng lantl use
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Proposed sctiedWingJasdoclated projects Jam"
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Antfcipeted ;Incremental development ' �,•✓t '
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Budding construction (state dimenslons, square footage and " aterials used)
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a. 'Existing buifdinl3s U k 5:: � 7, U'f�"P�tj
b. Proposed buildings
Hazardous materials to be used (inflammables, oxplosives or strong chemcais)
Dalfy hours of operation "` 7• �J �-3 Number of employees.
Number of off-street parking spaces provided
Bxisttng/proposed aoWage dCsposal method:
Proximity of po,Wer and"phone Ines:
Disfence"to natural Water course or storm drain:
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Anticipated on, andoff =site drainage .Improvements;
Water, source:
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Pro>Zfmity of G(later ton lire figting'pUrposes (flyrlantsR ponds, ;etc.) r
'Will eXd Vatfon or radia necessary y7 Cirblc.ards estimate . _�,