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School District r A.P. Number BUTTE COUNTY SCHOOLS IMPACT FEE` CERTIFICATION FORM ¢ (One form per Building) C��'t�.�-U '• Building Department No. _ La- 35-013 l } Jurisdiction:Ciity County Property Owner Property Location/Address Subdivision Residential Development No of Living Mobile Home Units Installation Commercial/Industrial r*i_ New Addition Building Department Representative No. A .........; € Sq. Footage Addition/ 'Supplemental to (Group R) Conversion Permit # "(No foundation inspection)' ................................................................................................................... Irioor rianssfrewewea Dy acnooi uistnct (� District Identification No. �/ 7- 0 � T b CSchool District certifies that Lfbl! s css 7?d (Street Address) ( %f (City) has complied with the req�uiir')emments of Resolution No. representing V square feet. i School District ReIS esentative Paid by Check # " ` Remarks: CA Sq. Footage (Including Exterior Roofed Areas) r f - -oa Date (Applicant) <�yq,o�� (Phone Number) h A 73 (State) (Zip Code) -717-0-0 by payment of $ �' v AB 2926 $ FULL MITIGATION $ 3/5 -/DZ 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 Sectiori 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. 4 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) feeformAs (10/98)dmm BUTTE COUNTY PARRS DEVELOPMENT FEE CERTIFICATION FORM CHICO AREA RECREATION AND PARR DISTRICT Assessor Parcel Number (s) Property Owner S Project Location'%Address`/�1J .�(J Subdivision =Lot Number(s)— Residential Development :"'(check one).' x New Development _Alteration/Addition _Mobilehome(s) Total Number of Dwelling Units Comment:. 3.5 � CQ Biiilding'Departme.nt Representative Date Chico Area Recreation and Park District(CARD) certifies that (Applicant Name (Phone,.Number A (Street Address L h (City (State 4 ,(Zip Code) t _Non -Residential.. to Residential i has complied with the requirements of Butte Co. Resolution No. 90-140 by payment for . dwelling.units @ $1,189 for total payment of $ 9 (/ (, CARD RepresentativV PAID BY CHECK N0. REMARKS":. BANK, N0. S� - ��Z (ly2 Ad PAID BY CASH RECEIPT N0. Distribution: White --Applicant Pink --CARD ' park.fec (form revised 11/90 Date M -T5/0" #5`94 "e15F'M +r' RTA" $1189v00 Yellow --Butte Co. Building ept. Goldenrod --City of Chico Building'Dept. 07,1051"W tf_,534 : i`i'i; ..:k rU?N' "' 199.130 I r I i' t j fill 1 • 13 -C,1 M A T 4dG - 2 �--�2 2-' DEPT 2-22--02 } GENERALPECIFICATIO S NS %� � G L � 0 s 3 SIZE � x AREA DEPTH 70 6 4� 7C d a t�I 1 -�_ SHAPEPERIMETER ,�vJ77�%C� 110 BOLDER D ER LOUNGE TEMPLATE N0. CUS'fONJ~--��'.-�^�'" ST � PS ,, �- TILE SIZE _x 6 � r L TIECOLOR L O O 'S R O T _.� F R WAT5 A L COPING co , G m O ... ROCK Q O K „ COPING COLOR AiSD DECK POOL CAPACITY 31O�U GALS. �. .. R©CK— , PUMP CAPACITY iO G.P.M.DECK LDERMOTOR H.P.HH.P.A;T r co FILTER8 SO. FT. ii FILTER A P TER R TE G. P.M. >i i � TE .. j TURNOVER HRS. I ZJIS 4 -VACUUM LINE SKIMMER 3' d D LIGHT T RETURN UNE MAIN DRAIN V2 .. N ! o l N � MOUT {{ R 2 SKIMMER MODEL U S 3S ` '1 _ r Si BACKWASH TO DIS 0 1/2".FILL LINE E es r�cE R � 1 '. G 11- _ ANTI SYPHON VALVE �, T I L rr lE% ! 1 + HEATER I N i�I O SIZE JO BTU , N . N GASUNE BY. G VENTED fsY C7 ST Eps LIGHT G T S0o W , N S i� Ri C � K CLOC Z <L V,r 3 +< t ELECTRIC fLE B . C Y C F P h v ! BONDING BY: ELECTRICAL C , F P d POOL CLEANER' _PC?OL VAC w CHLORINATOR HL I NO C OR '. PATIO� E c� -. N BOARD SIZE 'COLOR V O BOARD SUPPORTS 140 7i1 : N 0 MLADDERodell NTile:NO SA -���� 'Water SLIDE -#— C-1-114 GA, 1\%4„� ::Hookup ROPE RINGS N Ci W R OPE & FLOATS NO } GRADING DIRT WALK ,p k' ❑ YES STUB PLUMS mXN o TRACTOR SIZE 1, TILE &COPING gL,ASAP ❑ OTIC`. _ +, DECK BY. o C F P r ow E R r , :' TREES' ETC. C� TO DETERMINE APPROXIMATE ELEVATION CONCRETEREMOVAL BY. NO PERMIT OFFICE RAISED BOND BEAM: E _I SCALE 1/8 110m , I SALES OFFICE OF POOL ON DAY OF EXCAVATION. -YES ❑ NO HEIGHT .'WIDTH _ OVED �� P �A S T E R G Y A R E >�- PHONE NO MGR. Buite C oun _ - tHea !ah I�Inwronmenta � SER JOB NO ,.�-- SALESMAN �i�.� C� a r POOL TO BE FENCED PER COUNTY ' , 1 � � ��-� 1 � ��C.. � k+� � ''. _. MAP BOOK `NO. DATE SWIMMING POOL S .,, once _ Z _ J OR CITY ORDINANCE.: GATES TO BE SELF L C OSING AN SELF LATCHING. �} Ca 1111 i� T R atu 8Y OWNER , LEGAL DESCRIPTION NAME ^: 04 APO'47 �� G C�C� � R 7� i\i 13 U C l i��� � D GN R OWN. BY ADDRESS i OWNER: C -I i� c o W DOWN RE SHELL AT AS ET CONCRETE H LEAST + TWICE DAILY FOR 7 DAYS LOT NO: _ CROSS STREETS ` DO NOT TURN ON POOL LIGHT WHEN POOL- ' Ci 9Y -- �H � d h �D vIi13i IS EMPTY. DO NOT USE .RUBBER HOSE WHEN .FILLING TRACTNO 5i Q� RES .PHONE BUS. PHONE ' POOL AS IT WILL MARK' PLASTER. BOOK PAGE BLOCK /$�sQ 'OV 2 3 2 PRINTS `CASE RE POOLS N MAILING ADDRESS O� ChIC s #9 Alyssum Wa S Y Y Chlco California 95928 I , - Bill Bell P _ Contr. L►c. #380826 hone 342-4639 N27734 R.. V - .. 2 AP 8015 -BE .571 I� r 1 I I: I