Loading...
HomeMy WebLinkAbout042-650-005«. ., -.,-:� . .. '�'! a'M•v "5. �.. .,...a"it7rr .44 `.:aR7r.'h' "';fFy ...t,.f ' t•' '}^^', _• ,. .. roti', _. . ,, ` BUTTE^ COUNTY SCHOOLS, D"EV.EL©,Ri4ENT FEE" CERTIFICATION %FORM 4". ( One' Forms 'iNk -ing ) ° o 411' Jr A. P . Number,�� •(,.-? Yu�inn, �gD,ep`artmen+t Nod 614s a e v �v .r School D,istri_,,ct( ,� `� r L , � City a FCouritay Jurisdiction 7- Property ^ 0wn:e►w'(' , 03';ect Locatiron rAdd nes+se. �� ti -t� Q r . y� 1 q Subdvisonw ,., ° kLotNumb er» 1. _ F,00ta�ge, Q` J Ad!d'•it�i�on^ a �(Group R ) + . �;'�, •� �;. � Units t h��= s� �'_; ,. I.. - �,;�,�� �� New Ad!d�it+iori (Includcing �E�xtte�r'or �£i � 4`'• 9':: '�, • � 1L1' x iii � ' � � ----- @- ' �� r++ "` B'uild�ing Drepa finent,Representat�ive� �;: Date `�" • ��,�;���,_ � (Floor,: Plams��eviewed by School District Pe'rsonnel) ;;• +• �'� ,• , District Id No r �y • � School •,D�ist�r�i�c+t«,��cyert-cif ��es tYi�a � R • A4 4 JAp�l�ir"a'� �.�a+;�, i'iA �4 • rG-�J '�: � a� t�c,.� .;I,3h `� '_� :: � �d � '`` .. ("S t rYYe e�tA�d'dre,s s) ti� i■ ) a R � , t '- b � �.•k �%C v IL~� 4 Yom.: .0 h� � a .} IBM /�JL,.G73 �[i-J! .,¢-G' .reib.'frXi» m c 1•r ..s �;'kL. a`..�+ � .,� �. �,�..: n T (pCity)"F kS°t� � 7f(Z, p�3Code). " has comp:liedf-with' th�e';,regui�rements of� R68ol'u A-�onr i ' by the payment .orf''reprelsentrying".30`%S square feet. S5MV Dirstr ct 4Represen'jt t✓ve Date, PAID BY `CHECK �NO . � c BANK. NO �d ' 3�T r1� PAID BY CASH _ 7 white -applicant, yellow-building.department, pink -school district SCHOOL . FEE (8/88.) F' I` �4 'Y 1,4, �, , " 1 11 �` � , "li �i , , " V , i :;, I I t o P 4 jh " P 0 7- 77 -44 f4)040 CW��6,zti *jw, All �1 J 14 r4 4 o Q> I 7 -;77 W, -,P Provido t idoqooto clowlan to F 41 4i Pit, bedrOOM WIOM9 W aw e , 4 1 1� 5,h, m1nirm"k vpQ1 1 (.91 WI& If itul MIMI �q. caid 44'� Ff ose, ipi v Ott vi, 1 140 T� - Tw ol 41144 , " �l T he j," t. iilo 4 ra q j.#p 'Ilk J, "Or's if All, 41 sA e; 1 4 ell tFlo T fIlk , 01 I -A , 4t. Ite4, AM fORAWN 441 ifUNW RT -M BU I LD Ap 777771- 1