HomeMy WebLinkAbout047-680-032BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
School District (fS U D — Building Department No.
A!P. Number 0q-7— (v J Jurisdiction: City County
Property Owner 111
Property Location/Address 1 x'
Subdivision / ' V
I\ 'tali I!
Lot No. �..
.:........................................:.........................................................................
Residential Development Sq. Footage aC0 J7
No of Living Mobile Home Addition/ *Supplemental to •, (Group R)
Units Installation Conversion Permit #
'(No foundation inspection):
...................................................................................................................
Commercial/Industrial
R
Building Department R
c
New Addition
(door Plans reviewed by SChool UIStrmt Personnel)
Sq. Footage
(Including Exterior
Roofed Areas)
cJ_
30 `- o
Date
District Identification No. 0. 1045-S7Z-o9
L5U —D School District certifies that
(Applicant)
�r
30 /+ Connors Cf" 8'yi3 -o 1 6a
(Street Address) (Phone Number)
ckco Com-gsy
(City) �(State) (Zip Code)
has complied with the requirements of Resolution No. by payment of $%,
representing square feet.
W
School District
Paid by Check # Remarks:
AB 2926 $
FULL MITIGATION $
Date
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (School district) feeform.xls (10/98)dmm
BUTTE COUNTY PARKS DEVELOPMXNT FRE CERTIFICATION FORM
CHICO AREA RECREATION AND PARK DISTRICT
Assessor Parcel Number(s)�302. _
Property Owner
Project Location/Address'v�C�c�
Subdivision j O M,YN . �1 ✓ [` _ _ yot Number(s) --------
Residential
Residential Development: (check one)
New Development _Alteration/Addition _Mobilehome(s) _Non -Residential
to Residential
Total Number of Dwelling Units
Comment:
/—
,Building Depa tment Representative Date
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Chico Area Recreation and Park District(CARD) certifies that
T\,kt-c IV IL- c
(Applicant Name
5g'q-A-
Street Address
(City)
won
State)
8'�i 3 - 0 16
(Phone Number)
95f2
(Zip Code)
has complied with the requirements of Butte Co. Resolution No. 90-140 by
payment for_ dwelling units @ $1,189 for total payment of $ -/ /?'�.
CARD Representative
PAID BY CHECK NO . REHARKS:
BANK NO.
PAID BY CASH
RECEIPT NO.
Distribution: White --Applicant
Pink --CARD
park.tec (form revised 11/90
ME
O
Yellow--Butte-C-o. Building Dept.
Gol-denrod--City�of Chico Building, Dept.
TOT$1189.00
06/18/01 #4493 8:50AM
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