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HomeMy WebLinkAbout071-150-036z�... �-.i'�as .rf.a_ fL iae�i iiaik r o �• 1 it t 4 MW z�... �-.i'�as .rf.a_ fL iae�i iiaik SITE PLAN REVIEW APPLICATION Date: ( / D AP# Permit Number (if applicable) Bin Number Owners Name: Owners Address: Telephone No.: Site Address: Parcel Size: � U Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other JR Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation/Issue: ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer. Form to r Zone: `Ae") AA_ GP: G C�) DEVELOPMENT SERVICES 17VFORMATION (For Staff Ilse) [} Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Resolved By �'G Date o • ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Williamson Act Minimum Acreage: ❑ Residence can be built per contract 0. Watershed Protection Overlay Zone SRA - (CDF to determine specific requirements) 100 -Year Flood Plain: • Flood Zone: • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan ❑ Chapman/Mulberry ❑, Cohasset Area Use Requires: ❑ 'Use Permit ❑ Variance ❑ Agricultural Worker Affidavit ❑ Administrative Permit El Minor Use Permit ❑ Minor Variance Zoning: General Plan: Applicable Building Setbacks: ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side l O Side Street Rear p 3 Height Waterway N/A Gam' N/A N/A ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 Parcel Created By: " ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Subdivision Man/Parcel Map: Map Date of Recording: Lot: Book: 41 Page: C 5 3 ♦? 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Zoning: General Plan Desig: Size, Acres PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: