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BUTTE 'COUNTY. SCHOOLS ,-DEVE-LOPMENT FEE -CER:T-IFICAT�IW FORM
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A P Numbery�/� ;� 3 , T Building 'Department No.
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School' District .� L �� C'ty County Jurisdic.ton
Property J'Owner 40,
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Pro3e'ct !Location/Address .�:� 7` "'gN00�1�c..
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u Residentiyal Development
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`Sh `..... ..'Sq. •)Footage,.
3 �T� w` s� , # ofLivingMHI . Addition (Group 'R)
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" School' Dlstrlct certifies that
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> r '(•APpl`icant, N'ame') a , ,(:{Phone' Number)
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('Street,dress')
i (C_ity). (.State), (Zip Codd)
'has complied with the requirements of Resolution No.
by the payment hof $ /06 S, Q �. representing. d I3 d square feet.
{ /
chool District'Re ruse ative Dat
ht
PAID . BY CHECK NO. -REMARKS :*
BANK NO
PAID .BY CASHj,
white-applicant,•yellow-building department,.pink-school district
SCHOOL . FEE(.5/88
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