HomeMy WebLinkAbout066-280-013BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM
❑ FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD)
O C CO AREA RECREATION AND PARK DISTRICT (CARD)
PARADISE RECREATION AND PARK DISTRICT (PRPD)
❑ DURHAM RECREATION AND PARK DISTRICT (DRPD)
Assessor Parcel Number (s) '0GDO)-Nn- 013 Building Permit Number P 2
Property Owner (s) S C
Project Location /Address NPS'
Put Q1 , MPQMio�.A q Msq
Subdivision Name Assessable Sq. Ftge
Type of Residential Development (check one)
New Development Single Family -Detached Single Family -Attached
Alteratio (dditio s) Non -Residential to Residential Multi -Family Dwelling
Mobile home Mobile home replacement verified by Assessor Department
Demo Permit (date issued ) verified by Building Department
Comments:
Bu ding Department.Rep entative Date
0 FRRPD ❑ CARD APRPD ❑ DRPD certifies that:
I rc'_cy rarkr 3'
Applic tName ' Phone Number
13(26-rk aA
Mailing Address State Zip
Has complied with requirements of the Butte County Board of Supervisors Resolution No.
by Payment of:
Dwelling Units @ $
L3 _ Square Feet @ $ _
Remarks:
so
Paid by Check No: - Paid by Cash:
and Park
per unit for a total of $
per sq foot for a total of $
0
Receipt No: a 3 COY
- �'If7
Date
BUTTE COUNTY SCHOOLS IMPACT FEEyCERTIFICATION FORM
(Ones filer Building)
School District 4 Building Department No.
A.P. Number �lYty� �" —O Jurisdiction: ,= ,City County
Property Owner t t q Va �i(alt
Property Location/Address ' 7
Subdivision
Residential Development
�
o
No of Living
Mobile Home
Units
Installation
• r,
Commercial/Industrial
r New
Building Department Representative
Iden Ny
/3G
(Street Address)
(City)
3
Addition
I
Lot No.
F€ Sq. Footage
AdditioN *Supplemental to
Conversion Permit #
'(No foundation inspection):
.............................................................................. ...
~ Sq. Footage
937
(Group R)
(Including Exterior
., ... Roofed Areas)
Date
-loor Plans reviewed by School Uistnct Personnel)
—(:4V 141
(Applicant)
School District certifies that
(State)
has complied with the requirements of Resolution No.
representing � 7 square feet.
a
i
School District Representative
Paid by Check N Remarks:
(Phone Number)
(Zip Code)
by payment of $ . L%�C/y 5-1 14�
AB 2926 S ,
FULL MITIGATION S
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 (applicant), Yellow (budding department), Pink (school district) feeform.xls (70/98)dmm
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
�/'� (One form per Building) School District �, y ' �d-'"� Building Department No.
A.P. NumberolPKJ-�by " O Ju'sdiction: City County
Property Owner �� �/'� FQ, !' ^ A
Property Location/Address
Subdivision
Lot No.
Residential Development
................................................................................................................
Sq. Footage
No of Living
Mobile Home
Addition/
*Supplemental to
roup R)
Units
Installation
Conversion
Permit #
d�
*(No foundation inspection):
tdustrial
^ I — New A Addition
Department Representative
(Floor Plans reviewed by School District
Sq. Footage
Including Exterior
Roofed Areas)
N
Date
District Identification —(v
No. �JQC' "�p �W
School District certifies that
(Applicant)
(Street Address)
(City)
has complied with the requirements of Resolution No.
representing J square feet.
School District Representative
Paid by Check # (/� Remarks:
re -
(State)
(Phone Number)
(Zip Code)
by payment of $ 7z/�O
AB 2926 $
FULL MITIGATION $
`�'
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(x), 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
Y
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA),
this project may besubject 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
11, 47
SAW