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BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
School District t
! .,t p�,, ���}fl�r
Building
�.�
Department No.
A7 -d
,�
Area No.
-� �A.P.
Number n'7 _rtcl
_ /1� Jurisdiction: City
VTCatoe
unty
Property Owner 44r4kep
fti M01,11 l 1
P.
Property Location/Address
t �t
V • ,
Subdivision
Lot No.
Residential Development
No of. Living Mobile Home
Commercial/Industrial
Units Installation
0
New Addition
.......................................................................................,
�®
Md'di io 'Supplemental to
aversion Permit #
' '(No foundation inspection)
................................................................................................:
Sq. Footage C -A I R
(Group R)
Cr. Demo - ( )
existing sq. ft. see attached
Net total sq. ft.
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
District Identification No.
School District certifies that
(Street Address)
(State)
has complied with the requirements of Resolution No.-�Cj • ��j
representing square feet.
41'
School District
Paid by Check # Remarks:
Sq. Footage
(Including Exterior
Roofed Areas)
Date
(Payor)
95y�� e3�f3-96gDl
(Zip Code)
by payment of $
(Phone Number)
B 2926 $
FULL MITIGATION $
�3�/
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 (school district), Yellow (building department), Pink (applicant) - feeform.xls (12/06)dmm
E.H. USE ONLY
'-Plot Ran Anacbod. Y&V
Rout Plan Atuch ZVO
Sant to 0.0 -6-5, RI7
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
30 Al hi -4 —437
Owner Location AP#
Plan Aporoved for: Sewage Disposal >4' Water Supply: Public Private Well
Clearance for Other
Hold final for:
Final clearance O.K. for:
NOTE:
ILI.
Environmental Health Specialist Date
8/96
4. � WIZ ?VF Mi W4 Irl- Vq. Q r 4 IR!P117-4
---O-COUNTY OF BUTTE
BUILDING DIVISION
.....DEPARTMENT OF DEVELOPMENT SERVICES
41 1.Main Street - Chico, CA * (530) 891-2751
7. County Center Drive * Oroville, CA (530) 538-7541
CORRECTION NOTICE
OM&I
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and 9hould be corrected. Please notice this, office When correction of work is
completed. If youXave any questions pertaining to this matter, or need ad6tional'explanation,
please contact this office immediately.
I'f X
( I " ' - 'v - , , 11 / 11
ovr 6--r
J'7 A"Ilk6 /J /I// —/,
6OUNTY OF BUTTE
BUILDING DIVISION'
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street * Chico, CA * (530) 891-2751
7 County Center Drive - Oroville, CA * (530)'538-7541
CORRECTION NOTICE
OWNER
PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above add7r, ss nd should be corrected. Please notice this office when correction of -work is
I If
f Y:u
ompleted have any questions pertaining to this matter, or need additional.exolanation,
please cOntact this office immediately.
.11
Date 2= Inspector
REV 10/92
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street * Chico, CA -. (530) 891-2751
7 County Center Drive - Oroville, CA 9 (530) 538-7541
CORRECTION NOTICE
OWNER
-PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
TO: Building Department
FROM: Environmental Health
SUBJECT: . Sanitation Clearance
E.H. USE ONLY
Plot Plan Artache�dL
Floor Plan Anaha�j P
Sent to 13.0.
3
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for dwelliftg. Other io4l, 121""We—
Hold final for:
Final clearance O.K. for:
NOTE:
4., --- - g"; Xe— / W t - /
Environmental Health Specialist Date
8/96 1
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BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
School District Building Department No.
A.P. Number V 4 1.3 p�bl-trisdiction: City County
Property Owner 1 \Y
Property Location/Address �lJ
Subdivision euukl,4� Lot No. 39
................................................................................................................... /
Residential Development ! ' Sq. Footage O 3
Ni Living Mobile Home Additiord 'Supplemental to (Group R)
Units Installation Conversion Permit #
*(No foundation inspection)`
...................................................................................................................
Commercial/Industrial F-1 Sq. Footage
New Addition (Including Exterior
( Roofed Areas)
Building Department
(Floor Plans reviewed by School District Personnel)
1-42-01
Date
District Identification No.
School District certifies that �.T �p A.)
(Applicant)
R�3 6a
(Street Address) a (Phone Number)
(city)'
has complied with the requirements of Resolution No.
representing p
p g �O � � square feet.
School District Representative
Paid by Check # Remarks:
(State)
(Zip Code)
67-7. Q Qi by'payment of $ S r
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 (10198)dmm
BUTTE COUNTY PARRS DEVELOPMENT FE8•CERTIFICATION FORM
CHICO AREA RECREATION AND PARR DISTRICT
Assessor Parcel Number (s) Oy,7 -,A(p Q / 3
Property Owner k94T h Icy 0-cm,A S+`
Project Location/Address
Subdivision �y �ir1M�1 N Qq� Lot Number (s) 3g
Residential Development: (check -one)
Y
New Development Alteration/Addition Mobilehome(s.) _Non -Residential
to Residential
Total Number of Dwelling Units
Comment:
�_ ¢..e .��.tc.,�_ �- /off • G 1
Building Department Representative Date
wwwwwwwwwwwwwwwwwwwwwwyrwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwww�wwwwwwww�rw�t�rww
Chico Area Recreation and Park District(CARD) certifies that
(Applicant Name.) (Phone Number)
COAIA80S C-7
(Street Address)
C.�n � c.v • G�- �59�
(City) (State) (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 $JI
x/
CARD Represent ve.
PAID BY CHECK NO. % � REMARKS:
BANK NO . ZO - 4/7A,V - 49//
PAID BY CASH
RECEIPT NO.
Distribution: White --Applicant
Pink --CARD
park.fec (form revised 11/90)
del
Date
Yellow--Butte,Co. Building Dept.
Goldenrod--City`of Chico Building Dept.
I