HomeMy WebLinkAbout064-150-027BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One Form pe`r Building)
A.P. Number�1 "C1 1) Building Department No.
School District �/lr� ,��'- City D County Jurisdiction
Pro r
a ! ! e / ,)
Property Y Owner
Cf -
Project Location/Address .001fe Ir woo lJ /01 eq 0 ;,!1
Subdivision
Residential Development: � a
# of Living MHI
Units
Commercial/Indust,rial: a
New
Lot Number _6
Sq. Footage A-; ,-/� /
Addition (Group R)
aSq. Footage
Addition (Including Exterior
Roofed Areas)
�����
r Date
*******************************************************************
(Floor Plans reviewed by School District Personnel)
District d No.
140-�g-e_ School District certifies that
(Applicant. Nzrme ) ( Phone Number)
(Street Address)
&'
(City) (State) (Zip Code)
has complied with the requirements of Resolution No.
by Wment of $QD� representing %3% �� square feet.
School District Representative DXte
PAID
BY
CHECK NO.
%
BANK
NO
PAID
BY
CASH
REMARKS:
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)