HomeMy WebLinkAbout047-740-022BUTTE COUNTY PARRS DEVELOPMENT FSS CERTIFICATION FORM,
CHICO AREA RECREATION AND PARR DISTRICT
Assessor Parcel Number(s)
Property Owner
Project Location/Address 11_� C, L4 O
Subdivision
Cit R
Lot Number(s) C7�
Residential Development: (check one)
New Development _Alteration/Addition _Mobilehome(s)
Total Number of Dwelling Units
Comment:
a 1'.Aes' I '-)�! I -�' 10
Buil n Ike ,rtment Representative Date
Chico Area Recreation and Park District(CARD) certifies that"
Applichgr Name
(Street Address)
(City)
(State
(Phone Number)
(Zip Code
,C4Jw
_Non -Residential
to Residential
has complied with the requirements of Butte Co. Resolution No. 90-140 by
,payment for dwelling units @ $1,189 for total payment of $
� d IQ &Wns,��
CARD Representative
PAID BY CHECK N0. REMARKS:
BANK N0. q0_4 f la I
PAID BY CASH
RECEIPT N0.
Distribution: White --Applicant
Pink --CARD
park.fec (form revised 11/90)
I `a (o O Z.
Date
12/06/02 99003 12:31PH 0TQTPL $1189.00
Yellow --Butte Co. Building Dept.
Goldenrod--City-of Chico Building Dept.
�"�i'!f"".�+.v-•.(- Y. .. r i ... ...� .,} „� � . ••,: .r,Y �.,. •....d�:. ,. l.. ,, .r rte. r � .r ti. .. '7.(, _. r. ..... � � L
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM �61/
/ (One form per Building) )))(((
School District Building Department No.
A.P. Number 1 / / 00 Jurisdiction: City County
Property Groner
Property Location/Address / 2/O
Subdivision
Lot No. p:�
Residential Development i Sq. Footage
No of Living Mobile Home Addition/ 'Supplemental to (Group )
Units Installation Conversion Permit #
'(No foundation inspection):
Commercial/Industrial
New Addition
Building
(rloor Plans reviewed by School District Personn
District Identification No. OO aolv
School District certifies that ,(
(Street
(City)
i
has complied with the requirements of Resolution No.
representing square feet.
School District Representative
Paid by Check N Remarks:
Sq. Footage
(Including Exterior
Roofed Areas)
Date
^7 -
Applicant),
(Phone Number)
c•
(State) (Zip Code) /
by payment of $ Sb /sl
AB 2926 $
FULL MITIGATION $
l0 O
Date
s
Notice: You may protest the imposition of the fees identified above by'submittirig,a wntten'protesi tofthe District in compliance with
Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a Timely written piotest will prohibit
you from challenging the imposition of the fees in any court action. ,r�� ✓'� � t�. ,_ � � f /
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Foim, the•School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California EnvvonmentabQuality.eAct (CEGA),
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
ma
L N DBER
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