HomeMy WebLinkAbout061-030-038I ❑ APPROVED JR CONDITIONALLY APPROVED ❑ RESOLVE PROBLEMS PRIOR TO APPROVAL
j^ / PERMIT CLEARANCE
Permit #:
Genera/Information
Owners Name:
Owners Address:
Building Site Address:
Ewertylnformation
Date: !J 0
14)
AP#:(�51 0-3 — &"_
Parcel Acreage:
Permit Type: ❑ Agriculture Building
❑ Commercial
❑ Industrial
❑ Mobile Home ❑ SFD ❑ Residential Accessory
❑ 2nd Dwelling ❑
Multi -Family >2 units per parcel ❑ Septic *Well ❑ Other
Zone District: LA
Side
Date of Zoning Ordinance:
General Plan: Q
N
Side street
Development Agreement:
Use Permit:
Rear
Variance:
Parcel Is In: Land Conservation Agreement jffNo
❑ Yes, check use
Minimum Acreage:
Nitrate Action Plan
® No
❑ Yes
Violation Area
No
❑ Yes
Specific Plan
® No
❑ Yes
❑ Chico ❑ D2N ❑ Cohasset
Enterprise Zone
IM No
❑ Yes, check use
Floodplain
a No
❑ Yes
Zone: 1 , Panel Number: o ro2"S C�
Ig No
F-1 Yes
Watershed Protection
Zone
Proposed Use Complies With: General Plan It Zoning
Proposed Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Accessory Building Use
Commercial/Industria_I/Multi-Family Uses:
Parking: ❑ Parking Requirements are OK as Shown ❑ Other
Landscaping: ❑ Landscaping Requirements are OK as Shown ❑ Other
Road and Drainage Improvements Required: ❑ No ❑ Yes
Applicable Setbacks:
Zoning Code Street & Highways
Fire Prevention
Subdivision Ma
Front
C CMS lQwfoc�
1J.
Side
-
Side street
d
Rear
3 D
Height
Environmental Health Issues:
Septic Permit Review:
Well Permit Review:
Land Development Review:
Parcel Created by:
❑ Deeds
Agriculture Affidavit Required ❑ No ❑ Yes
Designated Well Site ❑ No ❑ Yes
Drainage Plan (Com/Ind/Multi) ❑ No ❑ Yes
Date of Creation: Legal Access Provided:
Deed Reference: Legal Access Required:
Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name:
Complies with County Standards for Deed Creation: ❑ No ❑ Yes
Comments:
%Map Date of Recording: , ) —( --) — S
Lot: `2— Block:
Conditions That Must be Met Prior to Issuance of Permit:
❑ No ❑ Yes
❑ No ❑ Yes
Book: Page:
❑ Verify Legal Parcel ❑ verify Legal Access ❑ Provide Creation Deed
❑ Comply with condition no. of conditions of approval for the
❑ Obtain a Certificate of Compliance (See Planning Division for application).
❑ Construction across property lines is not permitted (See Land Development for a Merger Application/Lot Line Adjustment).
❑ Comply with Old Subdivision Lot Ordinance (Maps Recorded Prior to Book 17 of Maps Page 23).
❑ Construct road to ❑ Meet parcel size required by zone ❑ Meet current EHD requirements.
❑ Other
General Comments:
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