HomeMy WebLinkAbout047-750-066BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM
❑FE THER RIVER RECREATION AND PARK DISTRICT (FRRPD)
HICO AREA RECREATION AND PARK DISTRICT (CARD)
0 PARADISE RECREATION AND PARK DISTRICT (PRPD)
0 DURHAM RECREATION AND PARK DISTRICT (DRPD)
Assessor Parcel. Number (s) C)qq _q 5' _ O Q Building Permit Number
Property Owner (s) '6hpPY)S0
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Project Location /Address iWl L• 0 hico . CA
Subdivision Name Lot' Assessable Sq. Ftge qCo�
Type of Residential Development (check one)
New Development Single Family -Detached Single Family -Attached
Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling
Mobile home Mobile home replacement verified by Assessor Department
Demo Permit (date issued ) verified by Building Department
Comments:
Department
[Wan
Date
❑ FRRPD ❑ CARD ❑ PRPD 0 DRPD certifies that:
11% 301�0
pltcant Name IMone Number
Mailing Address City State Zip
Has complied with requirements of the Butte County Board of Supervisors Resolution No.
by Payment of:
eo
Dwelling Units @ per unit for a total of $
Square Feet @ $ per sq foot for a total of $
Remarks:
Paid by,Check No: Paid by Cash:
02/07/06
41 •) il: 9 . r-7
Receipt No:
0'3'75 C-0
a(?/oma
Recreation and Park District Representative Date
BUTTE COUNTY SCHOOLS IMPACT -FEE CERTIFICATION FORM
(One form per Building)
School District Ohio A n (T If f' c CJLA �Orl'[ � Building Department No.
A.P. Number ny •q r) Q Jurisdiction: City County
c d
Property Owner
Property Location/Address 1 J � L. i ulLn . O.hi m .1 ' k
Subdivision Lot No.
Residential Development Q Q Q Sq. Footage 3gCn'?)
No of Living Mobile Home Addition/ 'Supplemental to * (Group: R)
Units Installation Conversion Permit #
•(No foundation inspection)
r .:........................................................................................
-... A . ---- ._Deed-RestnctedzS,q -Footage..
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
Commercial/Industrial
New Addition
Building
District Identification No. 6( '04 6
School District certifies that
Sq. Footage
(Including Exterior
Roofed Areas)
I -U(-069
Date
(Applicant)
' M•�
(Street Address) (Phone Number)
OhMo 9.s r� 7
(City)
(State)
has complied with the requirements of Resolution No. 900?- 6 41
representing -- 3.96_,'3 asquare feet.
School District Representative
Paid by Check # Remarks:
(Zip Code)
by payment of $ 889911Z
02926 �7 .. TS. t
ULL MITIGATION $
:0P 6�
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 Section 66020(a), wtthin 90 days from the date fees are paid. Failure to submit a timely written protist will prohibit
you from challenging the Imposition of the fees in any court action.
H, 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 revtewed under the California Environmental Quaft Act (CEQA),
this project may be subject to additional school fees to fully mitigate Its Impact on the school districts schools.
White (school district), Yellow (building department), Pink (applicant) feetonn.xls (305W=
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