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Home My WebLink About043-720-025�Yutsar�"i�F,��•t�..»ik*i�f�'�+w1=Rj��`'''"cc�k6"+�'�i€' �'I��°�'t��`�`t`i��1t�``tr'�*"�7"�'•y"+�i�.iawt�5°'ri,;�;;�s;�'�In ax',.b�F;i.,r F:'�; BUTTE COUNTY SCHOOLS,DEVEY,OPMENT FEE"CERTIFICATION FORM One Form `;per`, liiiilding)Ila A.P. Number, Building Department, Noy. ` School. District.�J�,tC�(j•. City 0 County .;• i Jurisdiction n i Property -Owner Pro ect"Location Address 4La" Subdivision " ,,�:, ' Lot; Number" " Residential ;Development Sq. 'Fo'otage . t; -y-of Liming`' MHI Addition (Group R) ' Units` Y f- al/Idst� riatl tComm,FOOage f 'New , Addtion.'(Includng Exkterl•or :. * Roofed `Area-s,) Y °�'�;" Building ;:`DQartment Representative ` y�jhz$h a7�yyl�lt �r��"'h ''7d 4., 7 �� .�t , y�v 'r 7 - kc'�'.*r a.r,.,,• , 4•... .t.. .r .� ��'�****"J****-•*****'.*t**7t y tip( pP t° �.�}YFD.l$tilCty�'Ia `NO a xt 1n }4 g y•o F+ SchoolA.D.vstrict_; certdf ies that 'l 5 �SZ �,b .,'S�` ,•. �f ,y'^ c 'r;,7.r � 1 5t r I 'n �Ta.e4+� �! .5 moi^ �jy, } ... �/ A ' ,,,. '.' � � . { ' 3 :. V / .." •/ / / { � 5 ,'� r kt'•.:JNAr'rS SAYa'o:! !d� � � �L.LIJC. ��,. ,6'� ..e a 11 - __i_1 t = , (Ap llcant Name)., ya. t r J (P,h h&Z-�Number) 4 ti = ('Street :Address): s � (City) (State).. _ (Zip Code) lias.coniplied ,with •thee requirement's of.: Resolution' No. �"-�( -.� . by the payment of_„ $ of SAD 0 representing 306 square feet. Sc of District epre ntative,: Date PAID BY CHECK NO. REMARKS c'(,A-,N,22= P�. BANK NO PAID BY CASH �)(� white-applicant, yellow-building department, pink-school district SCHOOL :FEE -(5/88).. .._ .. - 4 ELECTRIC 6Y; �'. G E I..& GT Z � �.