HomeMy WebLinkAbout066-040-022BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One Form per Building)
A.P. Number 2 -)—Building Department No. 1U C-,
School District 1 Rn(ko0j f C- City D County EJurisdiction
Property Owner A4 C> '2�1
Project Location/Address C—.,v'tL At- %V< /,X --
Subdivision / C. C.- U/✓%�� Lot Number � b
Residential Development:� a 1:1/ C y� or�`�--
3Q Sq. Footage G /
# of Living MHI Addition (Group R)
Units
Commercial/Industrial: a Sq. Footage
New Addition (Including Exterior
Roofed Areas)
v
&K- �_ (7 - � /
Buildi partment Representative Date
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(Floor Plans reviewed by School District Personnel)
District �INO.
me
Street Address
City)
School District certifies that
ate
one Number
0
p Code)
has complied with the requirements of Resolution No.
G'
by t yment of $ �p( �� representing ��% j square feet.
Sc ool District Representative Date
PAID BY CHECK NO. REMARKS:
BANK NO : %- S®
PAID BY CASH
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)