HomeMy WebLinkAbout043-720-022BUTTE'COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One Formeper Building)
A.P. Number_ .�a -y ��r�. Building Department No.
School District C,J,%L-U City County F'71 Jurisdiction.
:Property Owner
Project Location/Address
61 CA
G. -i
Subdivision ,8; 1.�: �t� �`? �z�� f� Jer-t o Lot Number 4- D'
Residential Development:
Sq. Footage�?�
# of Living MHI Addition (Group R)
Units
Commercial/Industrial: a Sq. Footage
New Addition (Including Exterior
Roofed Areas)
Building Department Representative Date
District Id No. rr^
Chic C�/1 �: q School District certifies that
r�
L 69
(App scant Name) (Phone Number)
Street Address)
(City) (State) (Zip Code)
has complied with the requirements of Resolution No.
i
by the payment of $ representing .square feet.
School District/Repretentative �/r Da e
PAID BY CHECK NO. -
BANK NO
PAID BY CASH A,j
REMARKS:
white -applicant, yellow -building department, pink -school district
SCHOOL . FEE (5/88)
TO: Building Department.
FROM: Encroachment Permit Section
R.E Driveway Clearance
owner location AP #
Driveway permit 9907111 z� has been issued for the above property.
U$7
siAature date
BUTTE.COUNTY SCHOOLS DEVELOPMENT ,FEE CERTIFICATION FORM
'(One Form.per Building)
A. P. Number.. Building. Department No.
School District G�% W City Q .County Jurisdicition
Property .Owner ,C4�1
Project Location/Address Gfl2 /o -r r • ✓ tt
Subdivision ,�j,' w Lot Number,,,
Residential Development: p
Sq. Footage 7d 3
#.of Living MHI Addition (Group:R)
Units
Commercial/Industrial: Sq. Footage
New. Addition (Including Exterior
Roofed Areas)
Building Department Representative Date
f F
District Id No. �O CO 3,
1
School District certifies that
(App icantName) (Phone Number)
(Street.`Address)
(City) (State) (Zip Code)
has complied with the requirements of Resolution No..
by the payment of $ Oy representingsquare' feet.
46 x4
S ool Distric Repr bntative Date
PAID BY CHECK NO. REMARKS
BANK NO
PAID BY CASH
white -applicant, yellow -building department, pink -school district
SCHOOL . FEE (5/88)