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GROVER.. JONES
4;56 R.F.,J.. Way, Forest Ranch
Permit#101-86A(Agricultural Bldg Exemp)
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to
house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not
be a place of human habitation or a place of employment where agricultural products are processed, treated,
or packaged, nor shall it be a place used by the public.
ASSESSOR PARCEL NO.
r
ZONING / ,10 _ 57
OWNER
PHONE NO.
G r �f VC Y
OWNER'S ADDRESS
LOCATION OF BUILDING
USE OF BUILDING
a
4L(a �i o.
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O I G# . ( J
SIZE OF STRUCTURE
J
y X 9 a -SO. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME STEEL CONCRETE OTHER (Specify)
TYPE aF SIDING
ROOFCOVERING
FLOOR TYPE
<f 0 N 0—r-
ESTIMATED COST OF CONSTRUCTION
$ Ca o
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County
Ordinances as follows:
FRONT
SIDES REAR c'
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet
from a mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and
a mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated above and the proposed use
conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will
contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to
comply with the requirements in effect at that time and before occupancy.
Date `�� L S �Signature of Owner 'L"� _r.
Permit Fee - $25.00 The above described AG Building is exempt from a building permit.
Receipt No. Director of Public Works
By Date
White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant