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04�2 - INTER -DEPARTMENTAL MEMORANDUM TO: BUILDING DIVISION, OROVILLE FROM: C. gaA-15-flel, ENVIR. HEALTH, CFECO DATE: -7- 2 - c,3 RELEASE ENV. HEALTH HOLD ON BUILDING FINAL FOR: OWNER NAME: -SEPTIC: I/ WELL: /,-' AP#: 4 7- 7Z10 - 00 ADDRESS/LOCATION: Comments: GL/memos/releasehold trwor rians reviewea Dy acnooi uistnct rersonneq District Identification No. d School District certifies that r (Applicant F - o f '23 - li,5-- �, (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. " (J� by payment of $ representing (/ square feet. AB 2926 $ FULL MITIGATION i $ School District Representative Date Paid by Check # Remarks: 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 • Z! t! BUTTE COUNTY SCAOb S 1APACT FEE CERTIFICATION FORM (One form polr, Bulldlnb) �.0 �. °. Building Department No. School District JA A.P. Num/bbeer,}V�^ u'insdiction' City County Property Orvner" -790r�,G�^"r""--SCJ/ ©n Property Location/Address Subdivision �^ W '� Lot No. .................................................................................................................. 2 V2 a Residential Development Sq. Footage No o Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # r ? '(No foundation inspection); ................................................................................................. ... a Commercial/Industrial Sq. Footage New Addition (Including Exterior Roofed Areas) (�,f3.0z Building Department Representative Date trwor rians reviewea Dy acnooi uistnct rersonneq District Identification No. d School District certifies that r (Applicant F - o f '23 - li,5-- �, (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. " (J� by payment of $ representing (/ square feet. AB 2926 $ FULL MITIGATION i $ School District Representative Date Paid by Check # Remarks: 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 BUTTS COUNTY PARRS CHICO AREA Assessor Parcel Number(s) Property Owner .0 -Al Pt�l�'P FSS CERTIFICATION FOPA" PION AND PARR DISTRICT �Sa - 05 Pt - 1fD--�j i Project Location/Address Subdivision Lot Residential Development: (check one) New Development Alteration/Addition _Mobilehome(s) s Total Number oftDwelling Units ©AA�w ' Comment: _Non -Residential to Residential Building Department resentative Date �1r�r�InAnk�kyryr�k�k�k,t ` vr��r�r*,r*�r*�rw,��r�rvr,��r�c�cvr�r**�r�rrr�r�r�rvr�t�r�r�r�r�r�c�r*�r�t�rw*�r�r�r�r�r�cw�i�r �*�rsr�r�r i. has complied with the requirements of ButeCo. Resdl lon,'No. 90-140 b� payment for dwelling units @ $1,189 for total payment of $ l CARD Representative PAID BY CHECK NO.( REMARKS: BANK NO. Ct D -',A acrz, PAID BY CASH RECEIPT NO. Distribution: White --Applicant Pink --CARD park.fee (form revised 11/90) t t - a a -o'z-. Date 11/22/02 #8663 11:14AM VXXTOTAL $1189.00 Yellow --Butte Co. Building Dept. Goldenrod --City of Chico Building Dept. i f% r tJl� A { ,r 4 k .Fd pill "m I t . r •. , , :•TF .ti. h� ..1 4 .-d. i f% r tJl� A { ,r 4 k .Fd pill "m I t . r •. , , :•TF