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I st�iE OP C LIFORNIA—HEALTH AND WELFARE AGENCY� EDMUND 0. 6ROWN JP.',,GoVurt)of
j DEPARTMENT OF' HEALTH'
'P' iTOET
714
0-6488
SACRAME1146 CALW69NIA 95814
8
June 20, 197
Mr. Lawrence J. llaw$ol.i
Director of Planning
7 County Center Drive
OrovillO, C& 9,5965
Do
i` at Mr'. Laws o 1:
N�5 1AWAt-NcE kt% RE8IDL-4N_T1At OM� 11 -IOM Q DVBLOPNJBNTA'.',�LT DIS -
T., FQ
AtLED PX. 139k 55 CHICOO CA, 05926 (Aip. 30, 42-191-18)
I T I S' is
h 4 a fol'Idw tip to my recent telephone discuss i wit - Mr. Ro�O�.Irt Ferguson. ,
It is my undeistanding thati,W. � Mrs. King are requirod'-to obtain �,,�,Iand
''tit -0 0 - for thelr 1 6 censed home. �' It LS my , ��further
;e permit, 0 th a f ee of $1715, 1 1 3.
��Iaer8tanding that'ithe King's are unable to obtain a building permif for the
planned new home until su6,h time -as the land use permit for the 6xiiting,
home 3*.s,,o'btained;.
lik6,to aSj< for yo
I would ur furthe� ation of ,elf -ate
-this matter.,
r consi r
and, Institutions Code Sections 5115 And 51116 declare that licensed re,�iaential
-,Care homes JPor six or fewer mentally hanaidApped persoAs or dependent And
a rosida P-. e
neglected children are [tiA use 6 roperty foit'ith purpose of,
'zoning. Local jurisdictions can require a ,,conditional, use permit, but,,� no
cond�.ip,ionsi-caja be imposed which Are not appfied to single family resid6,nces
ift the same zone. 5 of the -attached Department of H6alth Zoningj� 1,
0 icy
IS IS We This pol cy U
addresses'itil"' i is" �.ased pon legal. opinions from t�e
6ffice of� Legal iAffaivs ,, Dep'artmejit OT'Health -and an opinioft,ftom the
LegislatiVe Counsel, �� Consequently, while a conditi6fial,u8e permit,Zn i� 6
required, no condiitions� can be aimposed Which, are not imposed oti other 8i,ngle
A State Supreme
�family -residences in, the'same zone. Mease p bite' at the
-on the a' licabi" of We
Court has� ruled Lity lfare' and Tnstitutidns Code See -
pp
t n8 511$5 and $116 to all.charter a�� genera. ities.
io I 1AW C
-,and Safety Code ec" 152� prohib t local j uris, -
ln,� additl5n, Health 8 tion i I
'o or the n
dicitioii -hiom imp, sing any,business license, fee or tax E ivi ege��,�r,
pr
ing a i
of, operat) licensed resident a care facility,which serves six or f eweir
persons., This would, apply t he fee f ional . use p
'$17;S,00 -or the condit' eirma",�t'
ty in th'g matterfare based upon con,-'
I recognize that the actio'ns by iho' ci 1
cernS for .the bes i OE thr_ residents of the liq�'Oilsed residential
t. interest I
taro home and,for the neighborhoodi 1 want.to convey the interest of the
� , � 3 h� e
y Ommuni
Department,, of Health for the"c"OncerAS you feel for our c ty and s
wit�l you SOM6 of thel,concern.q :of this Department.
804r) Go, PIhnning Qomm�
J, UN. 9 1979
A
cc: Francisco MArt ''ttorney
Of-Pice of te�yal Arrcldrs
'of
b e' -nt Health
partm. 011
it
John �tConnel.l
ehsing�tSc
Cqptjunity, (�a�e FaCilitl6s' 'Ic Iction'
Departmi7,it of Health
�Jack Drury
District Adt' t'
mis r4tow,'.',�'
Comunity� Cdr&.'Vacilfti*6� I.AtensiAg
2422 �k den Way Bld , D', Suiie 35
9
Sacvamento 'A 9'
C - 5825',,
Walter Ingersoll ' Arek, Supervisor
in,
Convinut Care,Servke section',
776 so, state' �,,$tteet
suite fil
CA b 4821
DEVARTMtNT
OF kEALTH" POLICY JTtEGAR I DING RE 8 fl)ENTUL CIM 110MES 'FOR
SIX OR FEWER MENTALIN-HANDICAP?km rmsoN8 OR DtkND9N7' ft
�k�ECTED CHILI)
Thi
policy includes departmental, interpretation of Welf d;rO and Institutions
Code
Sections,5115 and 5116 ano Health an'd'gafeey dode Sectjb�), 15" 3.
The licensed small famil ome is the majoi.,alternat;Lv(b to��'hosg�.tals
and institutiona for those mentally disordered and dav(�j 'p�jj i�tajj
disabled.persons�who cannot -live �J,,Oqe, or with their Own, f amilies.'
The licensed small f Amily, home is tiie least expansive W, ail'tesid6ntial
care _placements and offers the most" Itnormal" (noninqtitu�ional)
environment. When s fftci and types Of' family' homes do
u ent numb
.not exist� local mental he ith de
a -partm6nts and regional centers 'Must
in6t:,Ltutlonize clients locally ot send them to�6tatO_ boopi clients
tals,
who shoold be in the,coMMunity thus remain hospitalizodi
Vo r these reasons, the Department of Hoalth has a vital,interest An the
r
availability of fam ly. hbmegk, and ift -emoving any obstacles to, that
dev�lopmefit.
2.
Tn keeping vith,, Sect ion 5115, Welfard'and Tnstitutiona Code., it is the,;'.
policy.of the Department -of Health that mentally add physic""' 'I
ally iandi,
capped persons are entitled to live in -normal relpf'dential surroundings
.and shouldnot be'excluded from so doing because of their disability.
3
In otder,to hchieve. Uniform statewide, application of the intent of,
provisions' Of ry to establish th tgtatet4i�'e'
theoo_ Actso it :is necegoa e
Polidy that, the 'Use of pr,60erty for the care of six or,.few6t mentally
disordered or otherwise handicapped,petsoni§ or dependent or neglo6tdd,
cbildten'is a residential :use of such property for the purpose of
;�Pning� is declared,,In 8edtion 5116, Welfatt -and' Institutions 11,60de',.
Such homes shallbe 'Permitte&,use- in. aU,,tesid,ential tones� inalilding,
but not limited to'i, te6idential zones f or single—f attly- dwellif',gs,
4�.
No local j urisdictiort impose any bdbinogs�, license, fee for fi,
- I re
Inspectioa, clearbna e, fee 8�,., or tay. for the t�iprivile'9;6 of- opetatin'g a
5
5116 further states that small famdV homes sWill be permitted
t.6 rosidentl,61 Zones for, sing , le family OwqWngs Ott th�b, same basis ', 68
other"'dwellings on s ot U,,It date
in, such z � e' - d shall n d dlffei�,ently
-an ,
than' single family homeq, 'thus* �b: city shall hot (�Stabllsii '7,
'oninj
roquiremon ts through, conditional use pe. r�mits for,,,s'ucb fat litie's which
a r�o riot applied to other singA.- -family residence n the s`,4me zone,.,
th fa6i
The only 14%ited exceptidntb the,requit6ment at small ly homes
be: given t;h,e same treatment as single family homes ik whe.0 differ.ent
treatment is, to protect the hi�ilth and aaf oky of the residents
of'the small family homes (See iteffi 11.)
lei
it is the Dep4rtmefits polic
y to maintain the ;reaidon,tial nlature-6f
11 neighborhoods invhich�licenaed small homes
�Perbons dke, located. Cl f 07 mentally
d u9t6rifig, or con',entratj6-jis pe,
a
of liceftaed-'i�hom,--�j
�y, for n6rt4j telatiorj6hi
��pe es the 'oPpottunit
Ps awl q
Iters the'
Identialn4tute of"the neighb
Prhood,, t4heiv; lic
I�OM�6 w ensure f
ill result In' 0
clustering or conc, I
ap6lidan s entrAPIon ,
t foV a license shall be 86 inforl . I 'Of Such hobies 4aew"
�od,' and encouraged to".
establish facilities in areas, where there
Publieplacemen
is j'�a need fot su
t agencies shall ch k cilitie64
encourAp Plpr-tcemehts in 6teas" of lov�
concentration.,
Spe�sif tiL-e j�
r a to Assure dispersirin" of litt.'
handicapped' Onsed homes P�'
persons will be avAj -or mentally
la, b Xie 800nvN 1�
Designg`ti6n,�Of c1ust6r
Or cOricent"ratiOlib-is the responsibl,'I'ity
�Local cor'cern h 6' DePavtmef"Xt Of Health,
s are to'be directed J�hrough he
cal �stv-te'licenaing
Office to the Depattment-of
Healtf'j I
erc,ont6 ttat;iOn is,sub-
stantiated-, thd,Departme
At Will d6sfgnate,�' f
to which the above policy will the a e 0 Overdoftcehtratib
apply.
7. "Accordingl it j� t T�
y he Policy - the Npil
Cants fo ttment, of 1ealth that appli-
r'a license as a family home fat,' ey
be requited only,to ptov .. "I si:k or f yer persons shall
e eVidence that they're6ide in, -a 're
id
pzone, They shall"not be rdqdired to 'Obt" sidential
4n 40hin
any local,btisirl,ess or license tee. I apptoVal, or pay� -
T'he App'licant, howd'verl' remains rdsponsifte
to & �"ith any local
ordinance, wh i c jis // ftPlY W'
The D apOlidd,equallY upon, Al!il s.jjtjjj at
�Partment Of Health shal
I only require c f a1hilY dde, ngs.
and Title 9�'i Califortila Adlzitistra�iv O111pj iante, �wi.th Title"22,
e Coile, a,�' c
The applicant rema Onditioll Of licen8ure.
lotal ordina ins tei7,p6nsible to comp� wl"th, all state law6,, and
nces
9' Environmental ouall r
esighates the Department of Hea 'idpartm
d ty' The bitedtOi of the
dht at
Health
Ith as 'the
rdsidential e 144d agen
car�- facilities for siiiw Oy for small
bt.herwigd handicapped pe Or f eoe�� mdiltallY disardred
at.
rsoft8 or dependent a�d cted d .); - - � .,
pursuant to Section 15065 neg e hildreti
(b) of Title 14 d`nd
O� Tj Section 8106
tle 170 California Admi- .,5 (b)
Ve9drdlesg of wh nisttAtive Code;:�.�' This designatjoh.appli
Ich public ofte�tty is teSPOV�bible to, 1,ceh ep
'facility. The of, the be q sing.a,
care P&alit partment 6f H6<h,-�dot Mi
a . I nes small
othervis;e hd d for six or few�t mentally' disd-edere'd a
ndicappdd, 1 -1 OorA rit' and neg, r
Pet -90i'8 Or de - de
be subj�
ect to the,categoticAl exet ect-ed children to
.,Ption p4ovided f
I facilities
in':,Section 1.5jol. Or eldsting
to. Home
9 fat seven or thiore should be a permjitted
of like rate Of occupancy, i.e. use in res,��deftt,ia! zorl6s
0 apartmen�,'-S� dulplexes'j",\
Al
j
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196
59,
A c 6
Men t�
andi0apped Per6on's a X0 a t,, nj(. ,--Y tthd pig�y��ica,Lwfy
16 o
en t'j -t
suPr6un'di
prof i n9P and ShOuld
Pom b,ecau 'd -�d
8 e
r(-Oid�-ntiai
n6r�,
the eRclu,,
ir disability'. 11 L
b ln 017
to achiev
e �Uniform stateivlid'e'
of -Ulo- p 14, o -a e,
S of
thiol act and
Mental Retardatidn Act Of 196 -
ant
establjsh�'tbe S t, 9, A, t J 110, d: -,�; , -� �, F
e, a
at e w i d'�- p
0
POP the �C�y th
at the pil Q
care of six
0 V f e,1,4 e r Mentaj�',,Y`
bandi,cap 0 r\,\",
a Lis e o
1,Lt'Ch Propetity for the
ip rposop 0 11 t;l
(A d' d. e. d by
T-0 - C 12j§
53,16. p -suaht to t h
ur e p
cy 's -ated
aut,jqorj�,,ee n 8,e t i b n a, St a t--
0, o rt i fied 0
hOMO, or group h6m�-�- Sery in censO � IAM41y,, care,homo to er
R; Six or
Or Oth0rw,;-,;8o hah J�"Rp
(I P( --'Cl Person's (or dePendGnt e"
children,��Shall be, �bOns,
lidered nd g, I e C'�\
I a- re-sidenti -d
'fOP the PUrpose,0 al
Zoning,�jf ,),,,Use of, Proper
24 -hour -a -day baoj,-� Such hom
r
care on a \X
4
10mes shall be a U'.
ohes, J�rl(-'ludillg but no t:i,�
t limitea
to,
Nily, dwellintr
5 NOthin in
constmLed' to 9 2,01le s fo
Problib, t a y t paragraph ,3hall be
Condit - n di Y�or (�,ounty f
roM. re-quirring" ai,
J- Ona- use Permit in, ordiiLn,,j� 1�,O maj
bo thL� pjiovi",-L()
PS, of thi hOmo-, puvsu�
S p a, Va riv a ntadtl a , t
-iOnb phyi provI d, tl -.�,..no
cOndit. `�sha�j be jm'p'osed,.;O��Ot d (-,
the oaMO` Zone8 unl' " her 8j.milar
eS8 Such ad dWell S" in,
diit"'hal conditions apol, e ,
Protect the heci Ith, and safety of, n 'Oessary
by Stats�. the res,,jdehts, �."(Amendod,
H E AL T11
AND SAPWPY com,
15 2 3 On and', afte rr
anuary" 1, 1974
im anV bu,81h no local i Urlsdiction
Osp-, librensO� roe), Or ta be
Of OPerat'ing a
facili X for t
y licensed under thlo
serves sl.x,,or fe:Wer.p. priv
Ch. P$,Ons, Cb4pte�r` whiC
Added by Stats,
P , Wv" M Ml
a\
ell
it
N1 N 0 A D U S:T I ENT
00 U N Y R, I I D C) f ` Z ()
fT 2, 1978
1Z 1,N,D f IN Gi 5, ALNUSt
ST A V V
F� Carol A. 1'hg
14, ry A Use pe j�jn it to alloW
eWer pe-1,sons
�e,,;idcntf!11 care, ho,11le t1or or
sti-tutions C(:.)de Section
i,,�.LtTs u an t o' We I f ar e , F, I n,
1011 LCUItL,
Y zon6d, "A- - (Agro irai - 10
on Propert
d on t�h e sout1l side of Ora,jJe
a,c r o Parcels) locate
e t of Dairy R lden,��i,f ied'�
1/2 mile as
titty � appro.
of ch�.c
�,P 4 2! 8-18, West 0
6 and ment c f th e gLt�te County
e ELe
Sh L s,,' area is �de s nated n, the L�
'Field Crops
a a 1 Ri an as prchard
G c
lication,;to, the DepartTilient of publ-it
ha8 rh ad e 4p L
T hie a p p I c a q t, th a c'Opy oflis state c e n s e
116,�� a
7 s� ',f o r b u U'd 1 n'ti perin t� wi of the,
t and lettet stating IlLs 'Thtel ded use
f or, h,e c -are home 0
-e. (see enclosed 'copies)
P 0:81,,'�6 d', c, tuj
V tv e a in 64)'�e'vqise rest tLve lzones as
r e, a r1c
c, eliohies Institlations Code.
i �,'jfo�dqje n t i o ne &l lile I f ar e
provi
t h e
�ipt o,f, a �Iay 19, 19ts, of three mobiles 6�
Up oxi Y�e c c ep or t ,
a nd exc_0 nptOrcyr_A,es the. zoning
ive nois�" f'O
S u b`� -'t ' e r filed'�this memo.
0, C ','� - 11, , - rOPL erty On Ma 2,3, 19,17 8
t ssp y
n,V�,` t1ligatot inspec ed th
in 4 four r e t ar ded �men in reSidtnce at' the present
gilha. -ra,(7
ive in, the house and 'two 810op in,,. the �gA
�tijiie. TWO
ars -agoi
whigh, was converted into a. guest house two �y e
in tile orchtxd, to thKrear of his
a 9',, t 11,re c tfavel ,trailers.
is-' us 6�t' storage", On1v and the other,, two
I)x pe r ty One ed, k
114 0 - w anitary hoo—
not being use- d. ater or ,$
�J,� only store
in evdd_enco,�on ariy of the,,trai erg.
13
is golig havefthe t t
for the
se perml app,Llcation
in 0 1 ' '
f
I t o, � this of Pice by "the eWd o �,,this wee
Me submitt - 11
iho eu ultutal affidavv e th e
n a'glr i c it and 0ants t 0 us
He has der that aff1davit af t 9
Ij'g dt�e 1 ling un e/, he buillds th
e i I 'I ". l
4 �gppli6d to th(i' �u.11ding Do arttaent.
I r hol f hich''he has�, P
a u S C, .,Or IV U/ 0
tioned. that AsiOns
w 6,01 NtLto�st that Njr king, b'& au . th e �rovl
ilictiy to, 6 of f ewe
0 s j t ti't -11 o n s C 0 de -a P,T) I Y S 6
t
ot. t1lo. home
ded
it t! d ca r e
P� I � . I ' t qnv further expansion o I p Prop,o�,
and t I! a
i;), ci r> o as a
Ion subjOct '�bnaltles 'PTO I
I to fif If,"
A�ooId be�A zorvin i
yiodat�!
that the applicant,Antonds"to 56'
houb an
petm.
a vn,de r
s t ing
CIPPIOYet" 1171
1, t u r� 11 1, . -1 , tillent or Pub I le
I , �.; PL - o v I u f t c, C 6 L�t ri, ty Depat
KQ d: a t118 I z t 1i e 13
1) ro,
q"Vit
0�"*,Oqtilred affidt to tho reqLireifteft
Or I �t h thic
t�t i,o n 21 4 - 2 1 .2 �f 8uttC COLIftt,Y COdO�'t
BUTIT,,COONITY 110ARD OF Z'O N I N Q' A DJUSTNIIIINT
1; IN s f-� , J�
I? I N (I S, A11$t U,.
11 u,"T S u"I n t to t 110 11 "1 0 V the� Welfare and r itu lo n, s Gode
(1)
Soc t ion � 5 1A. 6, and Bti t,t o y Ordindn
C, u ! t cc 1��98 arriLly -care b C) Ill 0 s
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rt, / ;
Jul,
aly 97
3Q '�` / j
r
Mia 13ettye Blair (
in.t�xa;m �irec •ar��,'��, �I,
t 4 f Planning
7ounty give
I)ear Ms
1
As a con.c(�rYied home'' owner gym., vrra.tin;, with ofe 'er er to n�
neighbor 1arrY Xin(S : �_
It 18r
ay
\. Your 1,
rXice i��r a permit to o��erate a res. �.�'ntiai'c,j hone. :�eiri
a ane . hbox of the L: n;s' I asp we'll aware that thers;' a.re �eo�le�.
off, c ia>tini. hed c pac gty, livin with them and the unp Lo�m�r��nc�
:l �i has oauo .d in OU:t ' arca, Like my other nein hboro I have
ccm?�as ion' Xar the POOPle , living with, the Icings but do noit
reel that this area,; which if,, zoned for agri Y� tt�x�P, s7hc�u�
be turned ixtto a ;permanen.t homesi.te ,i'or a mental. institution;
If am wrong then it does�jt t make sense 'tea" have the preaI
The zortai �Md nt
Yee shou d let; . an o;
{ 'tever, t:h.�.myes they wish.
�'„n,e ina��e wha
1,,Jng ,-,jtUatj.op ,as Created a (erta.ina ''*mount Of Uneasine
all µlon ,, api living, with, ha_mf hie caused mar yi�ac ent
wi°tax hiz blooe neig
hbars and much ” tin essin X0:3 with All pi' tag;
that eve in t.?xe vicini°t� Of their home.
Public recora when. thy; "SheriTt a delsartment
has �xar� :.t�� i;nIr�,od
v�La�.on e. but it if; _ `here hao `"been
i1 e iv n ' negt to Ft,
and �;�1I1� t1 tx,, trJ �;ittla��`
,. eO e will esc.{;ape
^r are ver; ' tto'r, z ains, ,) any ; ;Aoti on that Mould -Sill w the
�syaq);(y +}�;ya c��n{/ t0 coAtinue tci e�;�i st a G the n,��� re sic�one a« , ,�ixey°
JR),Y 4A il.I.�ef.od in 4'i,4 �,i R 1"1•
Pest to increase tea , nttn-rber o peonle,.who
are: �,i�v��i w�.th •�hr�m,
these peopleneed: a hornI
� � realize -t;n.�y,i;
ori a 10 0o not yeahoul t Fair to ` xuno, e our j,ighta whq�z conoid
too bill
dere they, should �.�.ve.'' Th;i.s is arricczitu. e � rea' and
i a,M certain saott wou : `e!c1 t xe
t+hxi ate xax xx " o me !X, this aituP-tioft, were
vire tx ,. f our hose or x�.ei'Lghborh,o In d;,"sott> y � �g this ars tb
yy 6,n C-
a Of rr� ra erzd»st c3 z J.�,�. rar am-: tuvableq to :find
anY6,n .. who iw lh a ; � sN;, w,�. Is t 1. , :lk i
.r
0,4
Route
c hicta, C; :lp E'o�7
: ,C�1l omi x 1"zc �� VU14e Co, Planning 00Rtm.
3)0lv.,i .0 1978
Oroyitle, Ca ifofo
1 ,
c nt
!1
ri
r
,
i, July 31,197
rr n
Betty Bl a,i rrDirector l�
6ettte' 'County Planning Dept
Board of Zoning Adjustments >;
7 County '6ent6r Drive .
Orovi l l e Ca '95965
Dear Betty Blair:
I arauld li6:e to protest tht'Qssible issuance"of ,a use permit to Larry x�
less
and Carol King ti�tho'want to open a residential care hppte for six or,
people On 'til^a} e Wayin �hlco.
T w'Gid also like to knot�l hoj�i they can have an ope�rat-oval care center.
Was rejected.
a1 ready in aper4tiQn tahen their request previouly
I WOUld also lil-te-to knoiawhytfley stave already per►dt eld a foundation With-
I have been told the already started
on,
getting the perml, in qu ti ori .
structure will have 11 I edro0 This will mean -a total ai much r,ore
than the sit or feyter persons'lndicated in the p6tilit. ►
I totally oppose 'the enlargement of an a1 ready illegal operat..i on which
is aul sS%, not to code, This fi� s noFai r
when vi eel d f ronl the str d,et ol�vi
t,o residents of the arna"'
Gols Harmon
Rt, 2 BOX ,Zu() 11 ape lay)
Chico Ca, 95926
�
Ptiane
��� Carr1a
gu#ie C.o, PiAr,ning,
AU G '►97�
�rovill�� Catifar►�i
I
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,
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5
rl , �ay«d. fR'
,
k�6
I
USE PERMIT
1gust. 17, 1978
BUTTE COUNTY BOAAP OF ZONING,, ADJUSTMENT DATE �
(Jegistut'ed`mail receipt)
m PERMIT NQ,
42 -It it
r
ASSESSQR'S PARCEL. NO. -
p`ursUant to the provisions of the Zoning Ordinance of the County of Butte and the special
conditions set forth below;
f L.Iar*'}t_ A, It Carol AsiL�tl�h n
- NAME hereby Jiran ed a Use Permit ;
"In accprd'ance�with ap lication filed, t allow
. lq f i�O off` O1 Gt ' G C15. date y�1. �ioiliflt 1:t� �i�J ��� Agricultural'� �» f;�t:ution a !.
r
acre -
Cod, 5'a 6 on pvdpoTty zoliod "A-1
x"C �o't;' oto x6 ,t # iob
tkt' t V TO J y 02 Yrtt"rf� d +,t
1, Failure to comply With the
conditions pecifies herein as the ba lay r ap }vl .bfp
cation and issuance of Permit, constitutes cause for the revocation, of said permit in accor-
dance with then procedures set forth in.'the Butte County `Zoning Enalilling Ordinance,
U t..rr
2, Unless otherwise provided for in a condition to a use permit, all conditions must be com-
pleted
�
s J
plated by �he permittee within 12 month of the delivery of the countersigned permit to
the permit e.
3, If any,use,�for which a use permit has been granted is not established within one year of the
date of 'r "eipt of the countersigned permit by the permittee, the permit 8hail become null
' and voidnd reapplication shall lae'required to establish the. use,
SPECIAL! CONDITIONS;
:tsm nts 0 x` thO f�u°idtQ t o=t T�Iw:Y�� it
t r l iYri S I Ih`b, e) i. x 131;tt o r,tOtt�' ty �e�ic"$°�t l`t E7 i Q U C t taT?zr
1 o cov l � `YJjt:Yt all thOT tt,j,1)114all 10 fk
` �� �,�,Mt~xf.� ttttt��, u:�~« n
,local ;1 t r , ;� ttel V 01� ,
Y
cr.. I heeeby°declare under penalty of perjury that I have read the foregoing cortd}tions, �
that they are in foot the conditions which were°�Imposed, upoh tale granting! this Use
1
r permit; and tht I agree to abide fully by salcondins. ,.�
Dated: �� �,��,Ri.. X�
�p Appltcanf
NOTE: Issuance of this Use Per'mitdoes not waive requirement of obtaining Building
( and 'Health Department permits before starting construo#ion, nor does It waive ,
any other rotuirements,R
CC; Health Department
Department of Public Works (2)
I 'G` H:a �S t `_Chaff W60f Board of zorilii� At#Just erit
,. CJ .. , .. . ' .,4,i .,.... ., ., na �.. u'. d,,. c .ad.t .� . s.�,At .e .ire It..a.0',11..,Ilrt.r a,.P.v 4,..Ia•.:,M:-,� rl ^ri«a1,.T.,W..9r . w.v.. ,. d ms.N�4i