HomeMy WebLinkAbout047-740-026A.P. Number
Property Owner
Property Location/A4
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Subdivision
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATIOI(FORM
(One form per Building)
l / co / r � � L.� Building Department No.
C)q j . �5o - of y Po��-,u�
Jurisdiction: � city County
0( C-) Lot No.
Residential Development
..................................................................................................................
:
Sq. Footage
No of Living
Mobile Home
Addition/
'Supplemental to
Units
Installation
Conversion
Permit #
'(No foundation inspection):
11/Industrial
New / Addition
Sq. Footage
(Group R)
306
IS
(Including Exterior
Roofed Areas)
u -II -D4?"
Cate
(Floor Plans reviewed by School District Personnel)
+District Identification No.�!/
School District certifies that
^ / (Applicant) _ Off
Clio" az�zo
(Street Address) Khone Number)
�1 /
(City) (State) (Zip Cade % r
has complied with the requirements of Resolution No. —7 OV by payment of $ �Q
representing �V O� square feet. AB 2926 $
FULL MITIGATION $
School District Representative Date
Paid by Check # Remarks:
r
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 00/981dmm'
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BUTTE COUNTY PARRS DEVELOPMENT FSS CERTIFICATION FORM
CHICO AREA RECREATION AND PARK DISTRICT'
Assessor Parcel Number(s) � 3�y ' Q ��I},�YI of—
Property Owner
Project Location/Address
Subdivision
Ir mot Number (s)
0
Residential Development: (check one)
�ew Development _Alteration/Addition _Mobilehome(s) _Non -Residential
to Residential
Total Number of Dwelling Units
Comment:
c#
Building Depart�e t Rei resentative Date
Chico Area Recreation and Park District(CARD) certifies that
i s•�n
(Appli ant Name)
(Street Address)
(Ci
(State)
Phone Number),
Zip
has complied with the requirements of Butte Co. Resolution No. 90-140 by
payment for. dwelling units @ $1,189 for total payment of $
CARD Representative
PAID BY CHECK NO. � � RE R.KS :
BANK NO. `�t o�o� o)4(
PAID BY CASH
RECEIPT NO.
Distribution: White --Applicant
Pink --CARD
park.fec (form revised 11/90)
s aocn_
Da
_+G _:17TK RXTBTAL It 1189.130
Yellow --Butte Co. Building Dept.
Goldenrod --City of Chico Building Dept.
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