HomeMy WebLinkAbout043-720-020..BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
.. ( One .Form per Building).
A.P. Number� Building Department No.
School .District GUS .City .n County Jurisdiction
Property -Owner Z7J'�1i I iD �A/T�Ll I �.. ��.L L/ it/ S
.Project''Lodation/Address`
Subdivisrion. Lot' Number,
Residential Development: a `/
a Sq. Footage
of Living MHI Addition (Group R)
Units
Commercial/Industrial:. Sq'. Footage
New Addition,(Including Exterior
Roofed Areas)
Building Depa' tment,..Representative Date
..(.Floor Plans reviewed by School'District Personnel)
District Id No. 9/6
(A. Y": school' District certifies that
.(Appli.cant Name) (Phone Number)
1
(Street Address)
G G 5C] C
(City) :(State) (Z,ip Code)
has complied with the requirements of Resolution No.: w9-9 U
by the payment of representing l J ( square feet.
A. j
School!District Representative 'Date'
PAID BY "CHECK NO. REMARKS:
BANK :NO
PAID BY CASH
white -applicant, yellow -building department, pink -school district
SCHOOL. -FEE (8/88)
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
-f- Z /,6—
et- A/,W— v 2- r a' ZO
owner location AP #
Driveway permit
s igna/re
i
has been issued f6r the above property.
�-12-22
date