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Plot Plan Attached
Floor Plan Attached
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TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
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Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public >e,- Private Well
Clearance forZBPAWIling. Other
Hold final for:
Final clearance O.K. for:
NOTE:'
Environmental Health Specialist Date
8/96
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AP PkOVED
Butte County
Environmental Health
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I ❑ APPROVED ❑ CONDITIONALLY APPROVED ❑ RESOLVE PROBLEMS PRIOR TO APPROVAL
Permit #:&6—,L - �
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General 117forl"abon
PERMIT CLEARANCE
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Date: --� . p
AP#:�J
Owners Name: Parcel Acreage:`
Owners Address: _
-Z
Building Site Address:
Propertvinformation
Permit Tvpe: F-1 Agriculture Building ❑ Commercial ❑Industrial ❑ Mobile Home ❑ SFD ❑ Residential Accessory
❑ 2nd Dwelling ❑ Muitl-Family >2 units per parcel Septic ❑ Well ❑ Other
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Zone District: C�r T�� Q�y/ t�LC Date of Zoning Ordinance:
General Plan: p Development Agreement:
Use Permit: Variance:
Parcel Is In: Land Conservation Agreement ❑ No ❑ Yes, check use Minimum Acreage:
Nitrate Action Plan
❑ No ❑ Yes
Violation Area
❑ No ❑ Yes
Specific Plan
❑ No ❑ Yes ❑ Chico ❑ D2N
Enterprise Zone
❑ N0 ❑ Yes, check use
Floodplain
No E] yes Zone:
Watershed Protection Zone
NO Yes ,
❑ ❑
Proposed Use Complies With: ❑ General Plan
❑ Zoning
Pr000sed Use Re°uires: ❑ Use Permit
❑ Minor Use Permit ❑ Administrative Permit
Commercial/Industria_ILMulti-Family Uses:
Parking: ❑ Parking Requirements are OK as Shown ❑ Other
Landscaping: ❑ Landscaping Requirements are OK as Shown ❑ Other
Road and Drainage Improvements Required: ❑ No ❑ Yes
Applicable Setbacks:
❑ Cohasset
Panel Number: O� J
❑ Accessory Building use
Zoning Code
Street & Hi hwa s
Fre Prevention
Subdivision Ma
Front
O
Side
LJ
Side street
Rear
7�
Height
Environmental Health Issues:•
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Septic Permit Review: Agriculture Affidavit Required ❑ No ❑ Yes
Well Permit Review: Designated Well Site ❑ No ❑•Yes
Land Development Review: Drainage Plan (Com/Ind/Multi) ❑ No ❑ Yes x. _
Parcel Created by:
_ _ ... ❑ .. `. -..-.�... .......nw ... _.... . Deeds Date of Creation: `�, Legal . Access Provided:. ❑ No ❑ Yes
Deed Reference:
i Legal'Access Required: E] No ❑yes
Parcel Frontage on Publicly MaintaineitRoad: ❑ No ❑ Yes,'Road Name:
Complies with County Standards for Deed Creation: ❑ No ❑ Yes
Comments:
❑ Map Date of Recording:
Lot: Block: Book: Page:
Conditions That Must be Met Prior to I_ssuance of Permit:
❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Creation Deed
❑ Comply with condition no. of conditions of approval for the
❑ Obtain a Certificate of Compliance (See Planning Division for application).
❑ Construction across property lines is not permitted (See Land Development for a Merger Application/Lot Line Adjustment).
❑ Comply with Old Subdivision Lot Ordinance (Maps Recorded. Prior to Book 17 of Maps Page 23).
❑ Construct road to ❑ Meet parcel size required by zone ❑ Meet current EHD requirements.
❑ Other
General Comments: