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BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM
FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD)
❑ CIJICO AREA RECREATION AND PARK DISTRICT (CARD)
koPARADISE RECREATION AND PARK DISTRICT (PRPD)
❑ DURHAM RECREATION AND PARK DISTRICT (DRPD)
Assessor Parcel Number (s)
Property Owner (s)
Project Location /Address _
Subdivision Name
Building Permit Number
Type of Residential Development (check one)
Sq. FtgeU
New Development Single Family -Detached Single Family -Attached
Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling
Mobile home Mobile home replacement verified by Assessor Department
Demo Permit (date issued ) verified by Buildinl7 Det)artment
Comments:
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❑ FRRPD ❑ CAR
AP licant Name -
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Mailing Address
D DRPD certifies t
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Phone,64mber
ity
Has complied with requirements of the Butte County Board of Supervisors Resolution No.
by Payment of:
Dwelling Units @ $ per unit for a total of $
(Q44&quare Feet @ $ , per sq foot for a total of $
Remarks:
Check No: Paid by Cash:
on and
K:\FORMS\BUILDING FORMS\park-rec standard form rev Ldoc
Receipt No:
Date
,S—P
Zip