HomeMy WebLinkAbout064-690-029A.P. 64 -X69 -a9
Gerald Jorgensen
20 Colter Way, Lot 171, P.P. #2
CONTR: Ray Munjar Const.,Paradise
Permit 875-73 (utilities for mobile
home)
....... A..p.,.-64c -------
�
GERALD_ JORGENSEN ' 1-7
20 Colter Way$ Lot 171r Magalia
Permit 2820-73B � iN*� T, x2 _ 73
(deck -for mobile home
064-690-029 05-1744
ARKENBERG, RICHMOND
14861 COLTER WY, MAGALIA
Cont: OWNER
NSF/GAR/COV
r-
E.H. USE ONLY
Plot Plan AnncMd
Real Man Arnaacchod
I �
Seat toft.0
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner (7 Location AP#
Plan Aporoved for: Sewage Disposal Water Supply: Public
Private Wel
Clearance for '-' dwelling. Other
-:7 1
Hold final for:
Final clearqnce O.K. for:
NOTE:
8/9
6.
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
School District
A.P. Number 06 2 / Jurisdiction: City
Property Owner A r `1e C—'/V 15 11-4 67
Building Department No.
County
Property Location/Address
Subdivision Lot No.
Residential Development6 Q Q Q Sq. Footage
No of Living Mobile Home Addition/ "Supplemental to
Units Installation Conversion Permit #
*(No foundation inspection)
:........................................................................................
/I/5n
(Group. R)
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
Q Q Sq. Footage
New Addition (Including Exterior
r Roofed Areas)
Representative
Distric Ide tification No.
-e
School District certifies that
Date
(Applicant)
(Street Address) (Phone Number)
(City) (State) (Zip Code)
by payment of $
has complied with the requirements of Resolution No.
representing ' square feet. 11AB 2926
Paid by Check #
Remarks:
r
S
)N $
Date
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 foes In any court action.
N, subsequent to the School District Representative signing thhi Butte County Schools Impact Fee Certification Form, the Sctrool 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 (school district), Yellow (building department), Pink (applicant) _ ' feeform.xta (3M5* m
,