HomeMy WebLinkAbout063-270-006SITE PLAN REVIEW APPLICATION
Date: OCT. t 2 , 249oS AP# e26-3,- 2 ?C' - oc>C,
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Permit Number (if applicable) Bin Number
APPLICANT INFORMATION Parcel Size:
Owners Name:
3282 tfwq, 3 2.
Owners Address: NGvzrg 'Sr*rsF_ cAt-ycvCs¢- gri 7i
Telephone No.: `L( aKS-
Site Address: 004F mrct /4vAtO
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
Jj Septic
❑ Agricultural Exempt Building
❑ Other:
Brief Explanation/Issue:
❑ Commercial Remodel
❑ Industrial Remodel
IN Well
❑ Agricultural Buffer Form
Zone: t -M-1 O
GP: A4Z
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval
f �' ❑ Resolved
By 66fV Date VC4% 2 4l, Zc?O-C—
1
4(
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: X
• 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: T1A- Lo General Plan: &R -
Applicable Building Setbacks:
❑ Setbacks identified on site Plan. 10 CDF approval needed for encroachments into SRA setbacks.
❑ Use Permit/Minor Use Permit
Permit Number: Date of Approval:
Pa
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
2,0 ,
Side
Side Street
Rear
,
30,
Height
Waterway
N/A
N/A
N/A
❑ Setbacks identified on site Plan. 10 CDF approval needed for encroachments into SRA setbacks.
❑ Use Permit/Minor Use Permit
Permit Number: Date of Approval:
Pa
Parcel Created By:
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: McO t ",7 7
Lot: & Book: Page:
3
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PROPOSE® WELL WILL BE
DIAMETER AND DRILLED TO
,®POSED DEPTH OF 780'.