HomeMy WebLinkAbout066-360-094S
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One"form per Building)
School District *340
ho S� Building Department No.
A.P. Number (/p �p ' 340 "Q 9 Jurisdiction: City County
Property Owner
Property Location/Address 25 '761 � y)l 4L, 2 IL ,
;Subdivision
Residential Development .
No o Living Mobile Home
' -- � - �� •- '� +`• Units ,+` �` Irisfallation' -
Commercial/Industrial
New Add'Rion
n
Building Department
Lot No.
............. ....................................................................................................
r
Sq. Footage
7 G
s Addition/ 'Supplemental to ' (Group R)
Convers10_6 Permit'#` { "�
'(No foundation inspection): 1 y.
............ _..................................................................................................
..
Sq. Footage
(Including Exterior
Roofed Areas)
4z -/f-0(9
Date
IrIOOr rlans reviewea oy ,cnool uistnCt rersonneo '
Distri t Identification No. L) U
School District certifies that
f ' < (Applicant)
�3 -7o� � fig ` 9 -9��a
(Street Addi�s) "l , "
(Phone Number)
(City) `�-L. (State) 1' (Zip Code)
,has complied with the requirements of Resolution No.
representing ' ` .� / / square feet:
School District Representative
Paid by Check # 'Remarks:
by payment of $ �� �� ' • ��
a r
I JJAS 2926
FULL MITIGATION $
05 -//-.0
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 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
i
► 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 Certifcation.Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEGA),
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 110/98)dmm
y1''�Ci��:r'`-•�..r�r�.,zt�.���.'��`''�'i+.�.3^��N'Yfir'."'^�..,.��.-+,+ti..�i �„��;,CJ'ry�»..�-�-�w^J�, W*r`�- ,''h �.� r ^t""'ti.�.Y...fx, � ..
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM"-'
(One foreper Building)
School District.04
Building Department No.,..•
A.P. Number Q w~ Jurisdiction: City= --"County
Property Owner ,'" j�7%CGL' d•/ Af A %L1zn Tor �J5'L
Property Location/Addy ss 8 ?0
Subdivision +' �. ;, Lot No.
s
Residential Development,,
No of Living Mobile ,Home Addition
_ Units Installation
Cbmmercial/Iridustriali
Building
ESR_ _
New
(Fioor Mans reviewed by scnooi u
District Identification No. 6/
&44.4 School District certifies that
U I
/3 ,
(Street Address)
(City)
has complied with the requirements of Resolution No.
representing ' (J square feet.
a
District Representative
Sq. Footage r 4K ,
(Group R)
Sq. Footage
Addition__.-•--- (Including Exterior
Roofed Areas)
6 � . / �?
Date .
-t F'ersonnep
Jm
(Applicant)
107
(Phone Number)
4 � / 2-6
(State) (Zip Code)
by payment of $ /53,7166
I[BLIL926 S
MITIGATION $
Date
Paid by Check #
/ Remarks:
J
Notice: You may protest the imposition of the fees'ideritified'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.01i,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.xis (2/97)dmm
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