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Home My WebLink About042-650-010.�, y.,.._,�•. :: ,1.,... w .. ,,. ;.- ,,... ,.. .sem., ... -,: r, .. •. --.r „ `k 41"BUTTE COUNTY, SCHOOLS° DEVELOPMENT,FEE CERTIFICATION FORM (One' •Foam} per,Building)e �. A.P. Nuamber _'`,_j ~ 1 *E, Buil'd�iffg•°Departmen`t to,. k j ,t 7 w School District "(2-A► (`,(`: } Chi-ty ' r Cou�rit:y , Jurisdiction ' Property 0w4neru A .i. Project-'Locxation/A�d�d`re'srs.�:�� I��I; �t f" 1K4. atC�Q 5utb`dvi`sp,on kv; �.(t rhe �r''2r SLot Number• f a� �r A- t Res,.id'ent� �'avl De�ve�lop�m�e '4# off L+fiving ,MVOI AdWitior4 {•� r}y�v 'tfz11� 4 r�`i - :1 , 7 ,.: .� i�y4' •A.y ,fid ro< "`Co'mm'e}rcial/Industria. : �' D �, '� Sq. Footag`e`',t"a�, � � '�', � Roofed Areas) �� • ' ;kttiU a t y •�'' ''� � �Bu�ihd�ing �De,'air,7",tme�nt�4Repre�se,ntat�ive � �Date a '+ ��`�,, � � (Floor Pla'�n�s revNi�ewed by School. District ,Personnel) >. , - ~ i��t%t,,d�`N;o ,;, b� , � �� , •' � '13' z �"r� , ti 4 3' �� .7 ' fi� � t 'its �„ �� 6 n �+" � • _� � hat D r ct certifires t :j;: 190c, 7z t� Namea) ;z l i ,>. ..��=(Ph•one Numbe7F +; 't', q Wt i� v, ✓ r r ., 5 t T fir, F) S �•r.T r+ yCF a '4"� ti �'t "�: _",i rr�t 1 w '`f,.r, ! Yom. f• -'°` i 6 Ar, � r �` � � .�L � 'fes! >S. �a�...•.k� '�:: � i, ` _ .h.27F'ra .. 3 ,. 7 � r 5idi.1 �..c �'.1t'�� (0 � , IStare �` �'' � s j e) V • has compliyed wii*tah -t-Ah" requirements'`o'f•4rResol-ut.on No. b:y the .payment of $.,�.3t repre`senting li �eu0. square feet. , School` `D'rs't�r' c't%Repr'esentatriv f Date's PAID BY CHECK ' NO . REMARKS BANK NO / P> �3 9 7(O PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88)