HomeMy WebLinkAbout064-390-010T
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
Q (One Form per Building) .�
AB.umber f0q -A 9 -10—Building Department No. i
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School District " �jQ('(x(a � se City Q County Q' Jurisdiction
'Property Owner lA, 4nn VI IP / S
Project Location
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Subdivision �/" #til. Lot Number Ilk 1�
Residential Development:a a
Sq. Footage / � A
# of Living -MHI Addition (Group R)
Units '
C•'ormmercial/Industrial: a F—] Sq. Footage
New. Addition (Including Exterior
Roofed:.Areas )
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Date +
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(Floor Plans reviewed by School District Personnel)
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PAID BY CHECK
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REMARKS:
BANK NO
PAID BY CASH
;w .te-applicant,•'yellow-building department, pi -n school district
,SCHOOL.FEE (#&/88)x'
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