HomeMy WebLinkAbout058-730-015^ �Y
SITE PLAN REVIEW APPLICATION
Date--\ '\ �b
Permit Number (if applicable) ,
E H*,�Z�)
Bin Number
APPLICANT INFORMATION Parcel Size: �� 0�2u'e
Owners Name:
Owners Address:
Telephone No.:
Site Address:
Proposed Use:
Zone:
Residential
GP: JE14LVQ
❑ New Single Family Residential
❑ Single Family Addition
❑ Single Family Remodel
❑ Mobile Home
❑ Residential Accessory
❑ Permanent Second Dwelling
❑ Temporary Mobile Home (Aunt Minnie)
❑ Temporary Travel Trailer'
❑ Multi -family
Non-residential
❑ New Commercial
❑ Commercial Addition ❑ Commercial Remodel
❑ New Industrial
❑ Industrial Addition ❑ Industrial Remodel
Other
_5P -Septic ❑ Well
/ u Agricultural Exempt Building ❑ Agricultural Buffer Form
❑ Other:
Brief Explanation/Issue:
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
e
❑ Approved ❑ Conditionally. Approved esolve Problems Prior to Ap�roval 7
❑ Resolved
Date
2006
Y
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
❑ Williamson Act Minimum Acreage: ❑ Residence can be built per contract
❑ Watershed Protection Overlay Zone
SRA - (CDF to determine specific requirements) „
❑ 100 -Year Flood Plain:
• Flood Zone:
• Flood Panel No.: Index Date:
❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ Feather River Reclamation District (Approval must -be obtained from the California Reclamation Board)
❑ North Chico Specific Plan
❑ Chapman/Mulberry `
❑ Cohasset Area
Use Requires:
0 Use Permit
Variance
❑ Agricultural Worker Affidavit
❑ Administrative Permit
❑ Minor Use Permit
❑ Minor Variance
Zoning: — General Plan:
Applicable Building Setbacks:
❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
❑ Use Permit/Minor Use Permit
Permit Number:
Date of Approval:
2 2006
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front,2d
r
Side
Side Street
Rear
Height
Waterway
N/A
N/A
N/A
❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
❑ Use Permit/Minor Use Permit
Permit Number:
Date of Approval:
2 2006
L
Parcel Created By:
❑ Deeds:
Date of Creation: Legal Access Provided: ❑ No ❑ Yes
Deed of Reference: Legal Access Required- ❑ No ❑ Yes
Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name:
Complies with County Standards for Deed Creation:❑ No ❑ Yes
Comments:
❑ Parcel Deemed to be legal
❑ Verify Legal Parcel ❑ Verify Legal Access XProvide Deed of Creation
❑ Obtain a Certificate of Compliance
❑ Obtain a Merger ❑ Obtain'a Lot Line Adjustment
❑ Construct road to: ❑ Meet Parcel size required by zone
❑ Meet current Environmental Health Department requirements
Subdivision Map/Parcel Map:
Map Date of Recording:
Lot: Book: Page:
0
3 2006
M
SITE PLAN
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Assessor's Parcel Number. U �� U — U t3 -J KJ DJ L51 Scale: 1" _
Owner Name 1A)1Lc- c A,r^ -fVZdV n6 •
Address / Phone No. A5 3 Sev t-k-IC,tA (Z*cjk
Site Location 5"056 'fit 'fS4C#Jr2
Contact: Name Phone
Odobr M, 2W3 .
FOR OFFICE USE ONLY
Zoning:
General Plan Desig:
Size, Acres
4.00"
PROVIDE FOR ALL
ADJACENT PARCELS
SIZE (AC):
ZONING:
GEN PLAN:
USES: