HomeMy WebLinkAbout066-280-051BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
�G (One Form pi�!r,-Building)
A. P. Number' -� - Jr Building Department No.
School District -Fa !'CEQ��yP City D County Jurisdiction
Property Owner j -kp- A C( _9 n c- — V-' S p n
Project Location/Address PUP \5 I n
Subdivision Lot Number
Residential Development:
(� = Sq. Footage 14110
# of Living MHI Addition (Group R)
Units
Commercial/Industrial:
h/// r�
Building Departmen
aa Sq. Footage
New Addition (Including Exterior
Roofed Areas)
Representative
3- 9, -
Date
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(Floor Plans reviewed by School District Personnel)
District Id No.
ant Name
reet Aaaress
School District certifies that
3
'
01749 >;Vo
(Phone Number)
Y) (State) (Zip Co
has complied with the requirements of Resolution No.
by the, payment of $ 9 9-74. representing /�� square feet.
School District Representative Date
PAID BY CHECK NO. ,
BANK NO J% X02
PAID BY CASH
REMARKS:
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)