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HomeMy WebLinkAbout061-630-005SITE PLAN REVIEW APPLICATION Date:0 ( 0 S AP#S- Permit Number (if applicable) Bin Number APPLICANT INFORMATION Parcel Size: Owners Name:' Owners Address PLO Telephone No.; p Site Address:eS�-vt Proposed Use: Zone: Residential GP: 7-1/ `- ❑ New Single Family Residential 0 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 ❑ New Industrial ❑ Industrial Addition Other Septic Agricultural Exempt Building ❑ Other: Brief Explanation/Issue: r ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form DEVELOPMENT SERVICES INFORMATION (For Staff Use Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Resolved By Q/l�t _ Date [ ' di-- O.f 1 Ll { 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: ❑ Use Permit Fire Prevention Variance ❑ Agricultural Worker Affidavit ❑ Administrative Permit ❑ Minor Use Permit ❑ Minor Variance.. Zoning: Applicable Building Setbacks: General Plan: ❑ Setbacks identified on site Plan. ❑ CDF. approval needed for encroachments into SRA setbacks. Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front 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 Parcel Created By: F-I.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 ❑ Provide 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: 3 0 SITEPLAN.- - .... .._ .. _ . .. .._._..-•.•-•..... -. - ..._....._ ........._ .. - ••-••._-. _..... ........... .. • .................... .. .. .. ... o- t ............ .. .. _ .. _ .. . . . . . . . . . . . . .j. .. ..�. .. 5�.... .. .. . . . . }....._. ............................}...:..:............,..................... :........... .........,............... _..:......:.....;......;............ : .. ..............f......}............ ...... }............ i.........................s.....r...... i......:............ i......c .. .. ... .. .. .. .. ....t.....+ _.. .. ... _ _. .. .. .. .. .. .. ... .. .. .. .. .. .. ................ .. .. .. .................... .. .. ..`.�_.... .. .. ... .. .. .. .. .. .. .. .. .. .......... .. ................ .. .. .. •__. i...... • .. .. .. .................... .. .. .. - .. .. .. .: :: _ ::: .. .. _ ._ .. ... �.: n.. .. .......... .. ifs--- � /..� •Li. c.% . .. .. ,_��` ............ _ _ ......... :... .. .. .. ._ .. .. .. .. .. .. _.. _ ... .. ...... .. . .. .. .. .............. .. .. .. . .....:.................. �..> .......... .. .. ............ ._ .. .. e ... , Ov rr z.� _ ...... ..... :..... _..... .........._.................. .............. .. - -. ..............-- ............. . .. -.... n:. .._.................... •. e7 .. ::. :l. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. _ _ .. .�...... ._..................... ._ .. _ .. .. .. ... ._ .................. ... .. .. .. .. .. .. •U _ .. _ .. _ .. .. :.... ........... _ .... _ .. ...... 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Assessor's Parcel Number ® 0 Q — ® Q 0 —E 0 E� Scale: 1" = l s Owner -Name L� Address / Phone No. 6 % 14-9 I Lol/3— 6 a ,�- J Site Loration O F:�F_ M Q_ o ✓ �W A Contact: Name !� ;4o t A A �� 2 �o s Phone (711� "7 �I �v 00aim; =20M FOR OFFICE USE ONLY PROVIDE FOR ALL Zoning: ADJACENT PARCELS SIZE (AC): General Plan Desig: ZONING: Size, Acres GEN PLAN: 4.00' USES: