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HomeMy WebLinkAbout047-740-021.. v.. .y. .. .. `. .. n .. •Zr. ' `t •.`lw rrye `ry . .... .. "''l•r ti+"ti.-..i.Y�"4r..,.wi y :,.1..,�r:.. ..!\.- .. •..v.�-tiK.Y..{.� .. r . • r r BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District ' f �tJ �' l= ir!(.(✓f. Building Department I& A.P. Number OL17 354-6111 Jurisdiction: City County Property Owner X54 roc Se-° f us+Lam' Property Location/Address / 3C% yA Ice Subdivision Lot No. / .................................................................................................................. Residential Development © € Sq. Footage 156 hea No of Living Mobile Home Addition/ 'Supplemental to (Group ) Units Installation Conversion Permit # '(No foundation inspection): Commercial/Industrial Representative New Addition tri000rr rians rewewea oy acnooi uisinct rersonneq District Id ntification No. O� V_ 3 School District certifies that L (Street Address) (State) has complied with the requirements of Resolution No. representing G...— square feet. School District Paid by Check #1 ��' Remarks: Sq. Footage (Including Exterior Roofed Areas) Date SIC 4( (Applicant) 1 1.7-ua, (Phone Number) (Zip Code) by payment of .$ Date v 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 660201a), 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. r 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 V, . r .. -,. ..r - ..,w -.v - � '. . ..�a ....-. a.•1.. i .. •• - ....mow...-.. y,..y.,w.r .. •.•..'VitWn-r... r+ -rd'•; r....`/-- 1 � BUTTE COUNTY PARKS. SVEMPM9NT FSB CERTIFICATION FORM. . CHICO ARBA RECREATION J&. PARR DISTRICT Assessor Parcel, .Number (s) Property Owner�I/L� i Project Location/Address `8q 1„•, (Y) _ l i� Subdivision Lot Number(s) t� Residential Development: (check one) ✓New Development _Alteration/Addition _Mobilehome(s) _Non -Residential. to Residential Total Number of Dwelling Units / Comment: `Building Department Representative Date ww�rw�r*wwwwi�www�rww�rwww*wwwww,�www�rwwwww*ww*x•wwwwwwwwwwwwwwwwwwwww�rrrwwwwwwwww Chico Area Recreation and Park District(CARD) .certifies that ice.,. - „caac/ (Appli�&nt Name) — (Phone Number) (Street Addre (City .(State) (Zip CocfeY has complied .with the requirements of Butte Co. Resolution No. 9+0-1(40 by payment for t dwelling units @ $1,189 for total payment of $ CARD Representative Date PAID BY CHECK NO. ; REMARKS: BANK NO. G Q -.. t1 aQZJI 2L PAID BY CASH d RECEIPT NO _ D8/2'y Cit #45L''7 :3'21PM X+,,,MTAL �6 1 '�.00► Distribution: White Applicant yellow --Butte Co. Building Dept. Pink --CARD Goldenrod -=City of Chico Buildin°g,Dept. park.fec (form revised. 11/90) M. t � r 3 M. q , s t a Ill T .. ,. ... .. ....a; .. ,.. . .tt �.. ,. ,... I s: :,,,..>s..�«,,,..,�,.. �.a,.aaa•. +'.....,....as.,, "..atW,.�.,x.,..,u>..wwu . , „r.; : _:. ,•::. 5 ..._ , .. .: - ,, .,.. , . , ,. . �,.. e..,. ,. .-_ , .., �:.. :• M ::.. 5., ,,. :. "S4' a.. ,_ _� >` e. _ �, .., .__. _. ._ _ ;,. .. _ _ . , `�'�. ,. . _ , _ _v. r . , �. � , . M1<�,,, .:,.i °' t _ __ __ . ,,, ,r. _ . _,r _ , , __ _ Utz: �a...�..�_7, o, ,."^ri' '777"— i I I� IIIfI I 1 I I I I I E v - s �94 - ".tiW[ F Y' CCI! .. .z . .... , �` • ,. f s ry ���+„ 'R+e°�. ✓ � u�°tME.n> '�Y"�' ".,, � � ^ �. , ie d� A 8^" 1y .'y�}� '^M' -4,P� , ,77 , .. , :-. ry' .: �,#go-^.4e'e3..N�tA`.aw.eK.r,sin^T /•vsm x �«'Am:x4WrsmNte,wW'a,.M.f.�Pk^Spd—s✓!a e .. w'i✓:'w+"n4"'+:P%*A4'.5M43n44'MM+'.'5bxiw!yrp'NY•AieM�Y•YPrnWH+zLrvxy p.� „ r t 1V E r it a .Ii- t }�nj0. ,.... i 77i -7-77V7 .,. .. .:.: .. .. .fit 'N!'n..rv`P6:.. +vM..- .. .. N, ... .1, r.,F.... < ......'.N.. , r. '�` ..,. •.:ir. ,..,. ,... ,, , -''.: r '• v.." ,. f #d J i