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M/21,09 3� at l It l u i •fro ��-.�- II�V I / �-�J.pA A21yol Fti= D L s , Parcel Created By: Q . 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: Ccs . 2 2 `l 2.1G� 22 7 ❑ 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: feed - l9 81 Lot: 9 Book: 8l Page: &3 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: �( • 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: F -g - (Q General Plan: Applicable Building Setbacks: IV Setbacks identified on site Plan. IN 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 Side Street Rear Height Waterway N/A N/A N/A IV Setbacks identified on site Plan. IN CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 SITE PLAN REVIEW APPLICATION Date: [ () -- 1- ___10 �3 r, � AAN Permit Number (if applicable)04L,'" . Bin Number APPLICANT INFORMATION Parcel Size: Owners Name: �� � °� ! � 'Z An Owners Address: IT •i; R 7 C� 6,,� 1 Telephone No.: .��7 ' 1 ( z; �J Site Address: - l) L Nj Proposed Use: Zone:rQ- (U 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 Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation/Issue: ❑ Commercial Remodel ❑ Industrial Remodel to Well ❑ Agricultural Buffer Form DEVELOPMENT SERVICES INFORMATION (For Staff Use) is Approved ❑ Conditionally Approved By GP: ❑ Resolve Problems Prior to Approval ❑ Resolved Date ©U: 22 5 ? O G SITE PLAN . 0 0 a ........................< ..............._... .. ..... ------ .. .. .. __ ...... .... .. • .. .. ._ ..._...... ...... ..... .......................... :r . 1 ............... .. ._ .. .. .. .. .. ._ .. .. ............. ............ .. ......................... .................... .:....:...: .. _.. _..... _.. .. -. .................... .. - . BSI.,: ..................... .. c�...:. ... _. .. .. .. ._ .__. .. .. �..... o tt.. .tom �..... .. C• . J... ............... I ..... ...:........ .. .... ._........._........................:..:1.�.....:......:.. ......:.. ........ ...<....:....:..: 1...:..:....: - ,. D� _ ...:... _....... . _ .. t ._.. ... ._ .. _. © 1 ........ . ....... :..... :. -- .. .. ..... .. ..f ... :......: .. N_ .. �. _ ��: �.. ............ .P .......... H .. ........._ ............. --......... .. .. �•--' �? .,�. !._.. .. .. .. .. . ...... ...... ...... .. ....... .. .. .. ...... .. . ...... ... .. _ .. . _ ............ .. .. _ .. .. .. .. .. .. �... ... .. .. .. .. ... ._ .. ... ._ .. .. .. .. .. .. .. ' . . .. .. .. ............. ............. .. ............. ... .. .. .. .- . ... .. .. .- . .. .�:. .. .. ... .. .. .. .. .. .. .. .. .. .. .. — �- .. .. .. .. ... .. .. ... _. pi ............. ... .. .. .. ... .. .. ._ .. .. .. .. .. .. .. . - - - .. .. ... .. .. ........................ _ .. _ .. . . PtpiNNttdG .. .. .. _ .. ...... .. .. i1i N S 1 t alfl d E© N" PL i4 ,4P 1i - .............. ..... .. .._ ... .. .......:........... ...... ........ .. .. .. _. .. ;.. -use. 6 = f�G Z K : {� .Date.�. .. ' '• . .. .. .. .. .. .. .. .. .. ... ._ .. Pa r• kin .. .. .. .. g;......_.... cap �9-•----......; 9t. .. ..... .. �r 1.--_...................------------ ' .. .. ...c .. .. ... .. ....:.... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .................. Signature; ;........................... .. .. .. .. .. .. ... .. .. ... .. ............. i .. ... .. ... ....... _. .. :�. ................ _ ... ............. .... .. .. .. .. .. ... ....................... ... .. .. .. .........................._.. .. .. .. .... ... .. .... ... —,.. �C ... ............. Assessor's Parcel Number. 0 ©IA — ®-0 — 0 ®� Scale: 1" = r Owner Name j o ?u � Address I Phone No `f 7-v I� f 6 --- S-'ov1cT c�2 �1 S?a Site Location 0 '� �/` 1 �. C 9A - Contact~ Name bA U-)'' Ca ^'- cPhone FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres i a.00r PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: