HomeMy WebLinkAbout063-260-010LAND DEVELOPMENT
PERMIT CLEARANCE
CHICO ENV. HEALTH EEIS _ _ Septic Well
APPROVED ❑ CONDITIONALLY APPROVED ❑ RESOLVE PROBLEMS PRIOR TO APPROVAL
Permit #:
Genera/information
PERMIT CLEARANCE, y 2
Date:
_ �' 00 0?&0.Oi6
Owners Name: fi %%�elif ��S Parcel Acreage: 10 A
Owners Address: '
Building Site Address: ��� �/ ' F
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Permit TVDe: ❑ Agriculture Building ❑ Commercial ❑ Industrial ❑ Mobile Home
❑ 2nd Dwelling ❑ Multi=Family >2 units per parcel ❑ Septic It Well
Zone District: —� —) 0
General Plan:.
Use Permit:
❑ SFD ❑ Residential Accessory
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❑ Other
Date of Zoning Ordinance: —0-7 1 — I r)
Go 1- Development Agreement:
Variance:
Parcel Is In: Land Conservation Agreement IS No ❑ Yes, check use Minimum Acreage:
Nitrate Action Plan M No ❑ Yes
Violation Area M No ❑ Yes
Specific Plan No ❑ Yes ❑ Chico ❑ D2N ❑ Cohasset
Enterprise Zone No ❑ Yes, check use
No [].yes ^2-7
Floodplain Zone: _ Panel Number: OJ r ��
Watershed Protection Zone
a No ❑ Yes
Proposed Use Comolies With: General Plan Zoning
Proposed Use Reauires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Accessory Building Use
Commercial/Industrial/Mil i-Familv'U
Parking: ❑ Parking Requirements are OK as Shown
Landscaping: ❑ Landscaping Requirements are OK as Shown
Road and Drainage Improvements Required: ❑ No ❑ Yes
Applicable Setbacks:
Other
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Zoninq Code
Street & Highways
Fir Pr vention
Subdivision Ma
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Rear
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Environmental Health Issues:
Septic Permit Review:
Well Permit Review:
Land Development Review:
Parcel Created by:
❑ Deeds Date of Creation:
Deed Reference:
Agriculture Affidavit Required ❑ No ❑ Yes
Designated Well Site ❑ No ❑ Yes
Drainage Plan (Com/Ind/Multi) ❑ No ❑ Yes
Legal Access Provided:
Parcel Frontage on Publicly Maintained Road:
Complies with County Standards for Deed Creation:
Comments:
Legal Access Required:
❑ No ❑ Yes, Road Name:
❑ No ❑ Yes
❑ No ❑ Yes
❑ No ❑ Yes
Map Date of Recording:
Lot: Block: Book: 1 Pag
Conditions That Must be Met Prior to Issuance of Permit:
❑ 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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