HomeMy WebLinkAbout066-010-002BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM
❑ FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD)
D C CO AREA RECREATION AND PARK DISTRICT (CARD)
PARADISE RECREATION AND PARK DISTRICT (PRPD)
❑ DURHAM RECREATION AND PARK DISTRICT (DRPD)-
Assessor Parcel Number (s) SCO - 010
p-.nol Building Pen -nit Number
Property Owner (s)
Project Location /Address
Subdivision Name
Assessable Sq. Ftge
Type of Residential Development (check one)
New Development Single Family -Detached Single Family -Attached
Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling
Mobile home
Mobile home replacement
Demo Permit (date issued )
Comments:
Builbing Department
❑ FRRPD ❑ CARD eRPD D DRPD certifies that:
�-27-.
Date
verified by Assessor Department
verified by Building Department
00-ut-A
9Applicant Name Phone Number
P O G0x 191 CL- �
Mailing Address City State Zip
Has complied with requirements of the Butte County Board of Supervisors Resolution No. al Y'? 7
by Payment of:
Dwelling Units @ $
Square Feet @ $
Remarks:
Paid by Check No: Paid by Cash:
District
per unit for a total of $
per sq foot for a total of $
�sas.
Receipt No: a3 3 F %
g�-e
Date
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
t` (One form per Building)
School District Pnr�-n�l�nl 1'IP�I VI�`C� Building Department No.
Ta ate Area No.
A.P. Number (�(�, /��2_ Jurisdiction: = City County
Property Owner
Property Location)
q'' 9_1C)
043-09 -
Subdivision Lot No.
............................................................... _.................................
. C
Residential Development (� Sq. Footage 3050
No f Living Mobile Home Addition/ 'Supplemental to (Group R)
Units Installation Conversion Permit # Cr. Demo - ( )
'
*(No foundation inspection) existing sq. ft. see attached
.:..................................................................................................
Net total sq. ft.
Deed Restricted Sq. Footage
49MZEEEcopy of Deed'Rest�and Notice of Limited Use Facility document)
Commercial/Industrial 0
New Addition
District Identification No.
School District certifies that
(State)
has complied with the requirements of Resolution No.
representing
School
square feet.
Paid by Check # Remarks:
A _ -7i
Sq. Footage
(Including Exterior
Roofed Areas)
5K -9_ V7- n7
Date
z .
(Payor)
tup Looe)
by payment of $
IFB 2926 $
FULL MITIGATION i.' $
Q •.67 765'
tr-none rvumoer)
CS //1 .510
�
��
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 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 (school district), Yellow (building department), Pink (applicant) feeformxls (12/06)dmm
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