HomeMy WebLinkAbout062-200-0971
SITE PLAN REVIEW APPLICATION
Date: % e AP#
Permit Number (if applicable) Bin Number
APPLICANT INFORMATION Parcel Size:
Owners Name: l/t �(Z� .l i�, �� V
. _ Owners Address: .
Telephone No.: G%ol `" 0,0 —,a 3 � 7'
Site Address: Au SS 1 P, b)(p . u
Proposed Use:
Residential
❑ 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
❑ New Industrial
. ❑ Industrial'Addition
Other
Septic
Agricultural Exempt Building
❑ Other:
❑ Commercial Remodel
❑ Industrial Remodel
Well
Well
Buffer Form
Brief Explanation/Issue: _ e Uyf W E5Q,.
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
Approved ❑ Conditionally Approved
By
Zone:_
GP: _ fi
❑ Resolve Problems Prior to Approval
❑ Resolved
Date
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
❑ Williamson Act Minimum Acreage: ❑ Residence can be built per contract
❑• Watershed Protection Overlay Zone
12 SRA - (CDF to determine specific requirements)
❑ 100 -Year Flood Plain:
• Flood Zone: Y'
• 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
❑
Variance
❑
Agricultural Worker Affidavit
❑
Administrative Permit
❑
Minor Use Permit
❑
Minor Variance
Zoning:
Applicable Building Setbacks:
General Plan: TIM
❑ 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
120'
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] . 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: orG
Lot: Book:-00__Page:
N
l
Parcel Created By:
F] . 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: orG
Lot: Book:-00__Page:
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