Loading...
HomeMy WebLinkAbout071-370-033.... .. �.�..y_—.-.r.r..v3. ^.v.,v-wa+w.F'1ar'.�^" ,..--..-�.. < . - � ::+tea -.r..... �.:'+�•�r. �: ,"'Ssea•-.-..--..y..: _ .-.�... BUTTE COUNTY SCHOOL'S'IMPACT FEE CERTIFICATION FORM (One form per Building) School District 1 1.o Building Department No. 1 Tate Area No. X.P. Number ©� '�?O" Jurisdiction: City ax County Property Owner M c V P I I n r. Kn*\j Q. that 1, Property Location/Address Subdivision UPW tn.! Commercial/Industrial 0 New Addition Lot No. Sq. Footage Addition/ 'Supplemental to (Group R) Conversion Permit # Cr. Demo - ( ) € *(No foundation inspection) existing sq. ft. see attached _.................................................................................................. Net total sq. ft. I v Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) District Identification No. ® 7 0 1 8 1 School District certifies that Sick AE� VN • Qi (Street Address) (City) (State) Sq. Footage (Including Exterior Roofed Areas) Date (Payor) (Zip Code) (Phone Number) has complied with the requirements of Resolution No. __ l bc—scAQ by payment of $ Z representing ` �- -1� square feet. B 2926 $ FULL MITIGATION $ School District Representative Date Paid by Check # Remarks: �Mli 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 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 is 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 (school district), Yellow (building department), Pink (applicant) feeform.xls (12/06)dmm