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HomeMy WebLinkAbout066-230-025{ ....-,...r; a .t'i::.:.+�...w...r':-:._w.�,^-..�;..�r-,..-+..pr�r?+y.T,l++t" ,.:�-s.. -r .•na�w�-�..+�.t-i.n^'. �:,.,�yY4.��,+�nv.�...,r..,,x�?r.•.�r�r ..�T.- tom.^ BUTTE.COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (Ane fdrnf per Building) School District O -r 0.- t1L 'S •.P s Building Department No. A.P. Number 442 , —3 � Z. 5 Jurisdiicttion:I � City erty PropOwner 8r - Nak0.n/ V Y i i C. V1 Z e ��ew► ii�l In ,r ,Property Location/Address �a 37 QG r t 1ST t7 S C+ Subdivision Lot No.. Residential Development Commercial/Industrial Building Department Repre Diss/c)dentification No. fleet Address) I :.....................................................................................y............................ - —7 Sq. Footage / Ll Addition/ *Supplemental to (Group R) Conversion Permit # '(No foundation inspection): ` Sq. Footage i Iri0 )r runs reviewed oy Scnool Uistrict Personnel) (City) has complied with the requirements of Resolution No. repressquare feet. Representative Paid by Check # �(Remarks: (Including Exterior Roofed Areas) -7 Date ' District certifies that (Applicant) 4 /: - S J (Phone Number) (State) Code) by payment of $ AB 2926 $ FULL MITIGATION $ Date f 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 (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm No of Living Mobile Home Units Installation New Addition J �I I :.....................................................................................y............................ - —7 Sq. Footage / Ll Addition/ *Supplemental to (Group R) Conversion Permit # '(No foundation inspection): ` Sq. Footage i Iri0 )r runs reviewed oy Scnool Uistrict Personnel) (City) has complied with the requirements of Resolution No. repressquare feet. Representative Paid by Check # �(Remarks: (Including Exterior Roofed Areas) -7 Date ' District certifies that (Applicant) 4 /: - S J (Phone Number) (State) Code) by payment of $ AB 2926 $ FULL MITIGATION $ Date f 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 (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm 8 C• 8 COUNTY OF BUTTE -'Department of Public.Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit . will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction or the proposed property improvement (yes or no) GAS 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name 4. Address City Phone Contractors License No. ,I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name :v I Address city P4.4 ' Q4 dzI Phone'"? 7-,3 6.f -h _ Contractors License No. 4 ;L 7 9 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work. TA .0 AAP_/..0AC. %.y0 6A0AZ01F _T"r/C Signed: Property Owner Social Security Number Date Y—// - NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A. P. Number 69/0 Building Department No. .n School'District Ya is_.Q City = County Li!fj Jurisdiction Property Owner Project Locati Subdivision Lot Number.. 1� Residential Development: a IF Sq. Footage # of Living MHI Addition. (Group R) Units Commercial/Industrial: "' O Sq. Footage y. New, Addition(IncludingExterior ,e Roofed Areas) �..'" Bui'lding•Department Representative / Date (Floor -Plans reviewed by3VS6hool District Personnel) •7,rr District Id No.7 School District certifies that .(Applicant Name) (Phone Number) (Street Address) (City) (State) (Zip Code) has complied with the requirements of Resolution No. by*the payment of $ /%'JrJ,9 representing square feet. School District Representative Date PAID BY CHECKNO. / : white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) z.. jo 7 3330 THis, tDIIG: _ p FAC14 . COMPLrFEq INPUT _! LOA �: D ASTONS SUBMT' 'E6:-SYTRUSS . R. s` TX25�,c E 3. 2£t25.71 BDF CHORi -.2X,411- . 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