HomeMy WebLinkAbout073-320-025SITE PLAN REVIEW APPLICATION
Date: AP# Q22:>_ ) Ry K��
Permit Number (if applicable)
Bin Number
APPLICANT INFORMATION Parcel Size:
Owners Name:\
Owners Address:
Telephone No.:
Site Address:
a
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
. i .
Other
Septic
/ LJ Agricultural Exempt Building
❑ Other:
Brief Explanation/Issue:
❑ Commercial Remodel
❑ Industrial Remodel
❑ Well
❑ Agricultural Buffer Form
Zone:=�
GP: Aft
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval
❑ Resolved
By /
B (� A1� Date �1 � /��(.p
1 2006
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:
Applicable Building Setbacks:
General Plan:
❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
❑ Use Permit/Minor Use Permit
Permit Number:
Date of Approval:
2 2006
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
D-;;34
Side
,
Side Street
Rear
S
Height
Waterway
N/A
N/A
N/A
I VQ
❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
❑ Use Permit/Minor Use Permit
Permit Number:
Date of Approval:
2 2006
Parcel Created By:
O'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:
1
❑ 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:
Lot: �j Book: Page: r a5
3 2006
Assessors Parcel Number:
Owner Name N 'LA
Address / Phone No. 76
Site Location A r, F,
Contact Name A
Z4 2, ev C'
�x c-L7q
Phone
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FOR OFFICE USE,ONLY
Zoning:
General Plan Desig:
Size, Acres
L 4.00'
PROVIDE FOR ALL
ADJACENT PARCELS
SIZE (AC):
ZONING:
GEN PLAN:
USES: