HomeMy WebLinkAbout065-330-018BUTTE 'COUNTY"SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One Form per Building)
A.'P. Number Department No.
School District' Pomd's' (J, City D'. County U Jurisdiction
Property Owner( �o r
Project Location Address
Subdivision Lot Number
Residential Development:
• � � � Sq. Footage. �c.��tT
# of Living MHI Addition (GroupR)
Units (%
Ccmmercial/Industrial: a Sq. Footage
New Addition (Including Exterior
Roofed Areas).
D W`0
Building bepartment Representative Date
(Floor Plans reviewed by _School District Personnel)
Distridt Id No..�
vnkoLk JL bj_ (I I d, School District certifies that
Z210
(Applicant Name) (Phone Number)
Street Address
City) (State) (Zip C
has complied with the requirements of Resolution No-.
by the payment of $ 905 -:EO representing 132,11*square feet.
c�ze�t,� —50U J g1z71 �I
School DistricJt Representative .`Date
PAID BY CHECK NO. [ 'REMARKS : ISL* q 1 =zrl
BANK NO
4
.Win_"0h(U 4 /h m?nQC'1,._,.
PAID '' BY CASH -`R72-1 `Y I • r x = 1207 i
white -applicant, yellow -building department, pink -school district
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SCHOOL.FEE (8/88)