HomeMy WebLinkAbout064-150-025��: r.•i ? { ' hl .�,.�f�� I� .r�� .. r. . i •. ,.•+..^.. +.� ���i�iiv ���'�•' •.i.-�C t• :`� 7 ,: i)�j Y��� . � - a
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One Form -per Building)
A. P. Number /„ (f /5'� �$ Building Department No.
School District City Q County F_� Jurisdiction
Property Owner
Project Location/Address
Subdivision Lot Number
Residential Development:
Sq. Footage j3c�
01 # of Living MHI Addition (Group R)
Units
Commercial/Industrial: Sq. Footage
New Addition (Including Exterior
Roofed Areas)
� It, ,��14 � &7 / 4 - �
Building Department Representative Date
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Distric Id No.
;y
®
School District',certifies that
(App icant Name) (Phone Number)
(Street Address)
ma
(Cio) (State) (Zip Code)
a
has complied with the requirements of Resolution No.
by th payment of $ '7�f� representing 060 square feet,:
Q .,e!G�'Clli�-•rte--�//''/� - �a_'
School District Representative Date
PAID BY CHECK NO. ��
BANK NO 7� '2���
PAID BY CASH
REMARKS:*
white -applicant, yellow -building department, pink -school district
SCHOOL . FEE (5/88)