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HomeMy WebLinkAbout064-690-018TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance EM. USE ONLY Plot Plan Attached Floor Plan Attached Se4to B.D. T-1 - F7 C40 Lt q c Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public 't< Private Well ;�o fI\ Clearance for V dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Envir 8/967� ecialis 'Date Commercial/Industrial New. Addition Department Representative U V (Floor Plans reviewed by School District Personnel) Distric dentification No. 1 aM e� Q School District certifies that Address) (City)- v has complied with the requirements of Resolution No., representing �,SV square feet. Representative (State) Sq. Footage (Including Exterior Roofed reas) /�o Date (Applicant) (Phone Number) Code) V— by payment of $ B 2926 $ ULL NHTIGATION $ F o Date Paid by Check k Remarks: A 94f,//)F ... / �p ` } Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)a. rh i i 1 . BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) �A' RA 0 School District Building Department No. A.P. Number G `d/� Jurisdiction: City ©' County Property Owner } y, co Property Location/Address C 7 Subdivision i Lot No. Residential Development ® Sq. Footage lQ S O No of Living Mobile Home Addition (Group R) Units Installation Commercial/Industrial New. Addition Department Representative U V (Floor Plans reviewed by School District Personnel) Distric dentification No. 1 aM e� Q School District certifies that Address) (City)- v has complied with the requirements of Resolution No., representing �,SV square feet. Representative (State) Sq. Footage (Including Exterior Roofed reas) /�o Date (Applicant) (Phone Number) Code) V— by payment of $ B 2926 $ ULL NHTIGATION $ F o Date Paid by Check k Remarks: A 94f,//)F ... / �p ` } Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)a. rh i i 1 .