HomeMy WebLinkAbout065-050-022BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION -FORM
O FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD)
0 CHICO AREA RECREATION AND PARK DISTRICT (CARD)
tN PARADISE RECREATION AND PARK DISTRICT (PRPD)
❑ DURHAM RECREATION AND PARK DISTRICT (DRPD)
Assessor Parcel Number s) 0 b!�>- 06 y 7 Building Permit Number _05- I L{ Property Owner (s) � .l � � NA.
n
Project Location /Address i �G ► 1'�
Subdivision Name. Assessable Sq. ge
Type of Residential Development (check one)
New Development Single Family -Detached Single Family -Attached
./Atlteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling
Mobile home Mobile home replacement verified'by Assessor Department
Demo Permit (date issued 1l ) ( verified by Building Department
comments:
?T
Building Department Repr sentative Date
0 FRRPD 0 CARD PRPD 0 DRPD certifies that: 9
e
rfTin 71
Applicant Name Phone Number
� 3 1.9 Mambo evter°/
Mailing Address City State Zip
Has complied with requirements of the Butte County Board of Supervisors Resolution No.
by Payment of:
Dwelling Units @ $ per unit for a total of $
Square Feet @ $ �� per sq foot for a total of $ %��
Remarks:
Pai by heck No: Paid by Cash: Receipt No:
R c nand Park District resentative Date
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BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
School District Building Department No.
A.P. Number r. QS -22 Jurisdiction ❑ Ciry. Lop!Q,. County
Property Owner
Property Location/Address �Cy4 '4964<CZ
Subdivison Lot No.
Residential Development 0 ❑ ❑ Sq. Footage
No. of Living MHI Addition (Group R)
Units
Commercial/Industrial
❑ ❑ Sq. Footage
New Addition (Including Exterior
Roofed Areas)
1
uitd ng Departme Represen ive Dat
(Floor Plans reviewed by School District Personnel)
District Ldentification No. 2
School District certifies that
(Applicant)
(Street`Address (Phone Number).
tty,) (State) , (Zip Code)
/1
has complied with the requirements of Resolution No. by payment of $
J061y5is'Kid
square feet.
q ❑ Check here if fee received represents "Full Mitigation".
1 a 47</
Representative Date
A
Paid by Check #�. Remarks:
Bank Number �—
Paid by Cash
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 (CEOA), 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) feeformmk, (4/94)-L'
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