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HomeMy WebLinkAbout069-150-016,rF VC' ��. BUTTE COUNTY SCHOOLS DEVELO'PME9T FEE CERTIFICATION FORM (One.Form per Building) A. P. Number ��f--�-^�% �� Bui+i'ding Department No. School District (,/G Q, City. County f jurisdiction Property Owner /7i7� `�%�� Project Location/Address , . -,�} 4 4,,,,, 4214 - Subdivision Lot Number Residential Development: � a � Sq. Footage l%/ Stoo # of Living MHI Addition (Group R) Units Commercial/Industrial: �, Sq. Footage New Addition (Including Exterior Roofed Areas) :►�';e4 /L'i' m - Build' g Department Representative - Date (Floor Plans reviewed by School District Personnel) District Id No., /0 %S U (Applicant Name) 2 9 A����-c (Stree Address) School District certifies that one Number (City), L '?; (State) vt� (Zip Code) has complied with the requirements of Resolution No. by the payment of $ 709, � representing /%/S square feet. School District R67presentative Date PAID BY•CHECK NO. � BANK NO %0409i 1_5,21) PAID BY CASH REMARKS: white -applicant, yellow -building department, pink=school district SCHOOL . FELE (-8/88) ,_Ipf, lr •/7G +'S �,,: y.+�}1k./.'�"f1:i�',7:5ayy: 'o �{, -� :t''1n".....'il'• '�'%'S'. �i Ti BUTTE COUNTY SCHOOLS DkVELOPMENT FEE CERTIFICATION FORM (One Form per Building) %rte -� % / as+.•�F. A.P. Number J i(/�(�(//A Building Department No. School District e© City F County Jurisdiction Property Owner /Ja n �� ��'I 1' \ Project Location/Address Subdivision Residential Development: a # of Living MHI Units Commercial/Industrial: New Gia / Of. Oro V ; ll� Lot Number aSq. Footage Addition (;Group R) Ll Yt C�QnvE►r"'�' �n� i h't S�l�►r( Sq. Footage Addition (Including Exterior Roofed Areas) Buk%1-ding Department RepresentatNive Date ******************************************************************* (Floor Plans reviewed by School District Personnel) District Id No. fes_ School District certifies that (Applic Name) (Phone Number) ,.2;1 ( Street Address) 4C4� (City)- (State) (Zip Code) has complied with the requirements of Resolution No. C�19 by the payment of $ °-y' representing' - ' �� - square feet. /"2 s- 9i School District Re esentative Date PAID BY CHECK NO. BANK NO 9j) PAID BY CASH REMARKS white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) AIre -0,