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BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number to�-- Q,-�-b- M9 Building Department No. School District Pab�"pA_QJ City County ©Jurisdiction Property Owner G �1, 11�IUP �( ti ( 0/01li( Project Location/Address [(,(�L, Subdivision Lot Number ,Residential Development: / Sq. Footage ` r ✓b # of Living MHI Addition (Group R) Units Commercial/Industrial: a Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date ( Floor Plans,` reviewed -'by,,, ScYiooT' District Personnel). C. District�Id`-No'9rD� h ' P.. Sc ool* District f cern ies 'tYiat 7,n „✓ -(Applicant--Name) (Phone; Number ) - - .. . � K�-,•(+C�T�, �, f � .- f o ._.1 tea. -� - /Ilr•, ,( Street Address) .. • .��`/T �I�lI�WA� •t � t l . ( City) ( State )4:, ( Zip , Code ) has complied •with the requirements, of Resolution, No. .. by -the payment of $ %q.- ,� representing lj��O_ squarefeet. S&hooI District. Representative r /Date PAID BY CHECK NO. /( BANK NO �U I PAID BY CASH REMARKS: - white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) 711 0'.. 0 "_14 P �A 61 V1, D jk 611k --s-d IT QiiiiK Tt, vi;. &Z w t� t- v A 1�kx At-mMv4Pf4 L k:A� OV% lof To LLJ WOW Z6# T eftftc1imli *nd a Tw-A Rif 0) LZ .0 F 4? - Cu 0 0 (D iot (9 K ....... ... 6 Ow V=W= 12 - Run measumi loe to too. max. tolerance b6tween swap. k, Ian & TOP Mil to be 36 In. high w* -nod Pracfioas <s Interm blbd 0 Ar=rdance wif ed!jfe rails to be no# S4r ify pro, OVer On. apart. 'Cho .0 kA be MUST This got Of is unjawfui to -4� & cif C11 times ond W Z 'I -�mjssion from wrl"Gin Pw Same wifhou� ;OZ(3 ciny c ongles or otteraflOns O'll enf of Pubk tho D,4pclrtm niy of Buffo. works, co Y, F�-O. 10 0 L (v x /D 1065 411 4f 7, G) _4 r 1_40L 'I. 64 ITq >> M 4r, e9 I"PART BUILDING" M5 -BUTT F71 01 'FEE) . . ........ IAll 46�.k. WAA ALL �1), 1AJ1 A