HomeMy WebLinkAbout066-220-010BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One Form per Buil"ding)
A. P. Number �„ �„ -z�- /U Building Department No.
School District )06,rG_L/ .s -e City Q County // Jurisdiction
Property Owner
Project Location/Address / 'j S"'(7 �, / or.✓ h_ /�� , �� o jj'�
_ r
Subdivisiond,•�, �,, �,, ,� �51� �L� Lot Number2_ / C/
Residential Development:
Sq. Footage IS 6
# of Living MHI Addition (Group R)
Units
Commercial/Industrial.: a Sq. Footage
j New Addition (Including Exterior
Roofed Areas)
A'r
B,uildin'g. D'epar en- Representative / D'ate
(Floor Plans reviewed by, School District Personnel)
District Id No.
�2 W__ z/'11✓i G r1e-, ! School District certifies that
(Applicant"`ZName) _ (Phone Number)
ress)
Street
e - .
City) (State) ( Zip Code
has complied with the requirements of Resolution No.
by the/p-ayment ofr$representing ���0 square feet.
r Schodl`District Representative Date
PAID BY CHECK NO.
BANK NO. el'// - lee 9
PAID BY CASH
REMARKS:
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)