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BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE sumaing Permit No.
I
OWNERS A.P.
NAME: NUMBER: 60
PRINT LAST NAME FIRST
ADDRESS / LOCATION: Q 7- 5on 71L
COUNTY ZONING " X
DESIGNATION: U FLOOD ZONE: FLOOD MAP: 0 Iz 5-19
APPROVED: CONDITIONALLY APPROVED: RESOLVE PROEIL PRIOR TO APPROVAL:
PARCEL CREATION BY DEEDS OR MAP
DEED INFORMATION:
DATE OF CREATION: DEED REFERENCE:
LEGAL ACCESS PROVIDED: YES — NO LEGAL ACCESS REQUIRED: YES NO
COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES No
COMMENTS/CONDITIONS:
MAP INFORMATION: lgvrro::� A1;5ArbPV-f SuO.
LOT' -BOOK - –7 ; PAGE 43
ATE OF RECORDING
COMPLIANCE WrD*OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT
PAGE 23): V YES NO IF YES, MARK APPROPRIATE ITEMS) BELOW: e 5AC
A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements.
CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BEPAID TO THE BUILDING DIVISION UNLESS OTHERWISE NOTED.
1.. Maintain a 50 ft. building setback from centerline of road.
2. Maintain a ft.building setback from right-of-way/centerline of
3. Comply with Zoning code for building setback from road.
4. Maintain a 100 ft. leachfield setback from all existing wells.
5. Maintain a ft. leachfield setback from
6. Pay water tender fees in the amount of $ to Battalion Number — of the Butte County Fire Department.
7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290.
8. Connect to A public water supply.
— 9. Connect to a public sewer system.
10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National
Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile
homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department
specifications, serves the parcel.
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