HomeMy WebLinkAbout072-200-053��''�� ;1
A
SITE PLAN REVIEW APPLICATION
Date: Q Z J
Permit Number (if applicable)
Owners Name:
Owners Address: U
Telephone No.:
Site Address:
Proposed Use:
AP#
Bin Number
Parcel Size:
Cc, V, Zasbcf6
0. lj 0 f <a -e P -w
7 — / 0-11 (op
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
5ISeptic
❑ Agricultural Exempt Building
❑ Other:
Brief Explanation/Issue:
❑ CommercialRemodel
❑ Industrial Remodel .
,V Well
❑ Agricultural Buffer Form
Zone:
GP:
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval
❑ Resolved
By Date NOV. 6. 2esysr
1
_a
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
❑ Williamson Act Minimum Acreage: ❑ Residence can be built per contract
❑ Watershed Protection Overlay Zone
SRA - (CDF to determine specific requirements)
100 -Year Flood Plain:
• Flood Zone: k
• 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
❑ Minor Use Permit
❑ Minor Variance
Zoning: Fes- (y 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
w
Side Street
Rear
(D
Height
Waterway
N/A
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 Map/Parcel Map:
Map Date of Recording: R 17-7
Lot: Book: 6 3
0
3
K
Page: -7O
SITE PLAN
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Assessor's Parcel Number 0 QF7 — ®°1 Q — F-6-1 El El Scale: 1" _ 20'
Owner Name LxC1 'Ro 5 a
Address/ Phone No. -11, 30 C ,gq �a
Site Location r.D i (2 -0 1 0 I'✓e �,-jj
Contact: Name U Sn Phone 5 `-;i-`, �°1 0 odaba Z3. =ft
FOR OFFICE USE ONLY
Zoning: z lc7
General Plan Desig:
Size, Acres
4.00"
PROVIDE FOR ALL
ADJACENT PARCELS
SIZE (AC):
ZONING:
GEN PLAN:
USES: