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HomeMy WebLinkAbout079-370-069SITE PLAN REVIEW APPLICATION Date: AP# 079.370-• p6°( _ Permit Number (if applicable) 6fb Bin Number APPLICANT INFORMATION Parcel Size: 77Q t ar r� S Owners Name: Owners Address: Telephone No.: Site Address: 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 eptic F-1 Agricultural Exempt Building ❑ Other: Brief Explanation/lssue: V ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form DEVELOPMENT SERVICES INFORMATION (For Staff Use Zone: AL- GP: , ❑ Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval r ❑ Resolved By Date ©� 1 Or 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) El - 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 [-I MinorUse 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 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side tD 2 �. / Side Street Rear 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: Q Deeds: Date of Creation: Legal Access Provided: E] 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 - Lot: Book: I Page: 3 „. SITE PLAN .:....:...::.....:.....::..._:..._.:...:...... ::..:...::..-:..::.:.:.:::. :: :. : t .. .. ..::.:: :..... .. L- -: _ f ................... ............ .. Ci ,.A � It: tin rfa e,.... �ik�J•.E�'.-i9 _ _s.....»_. h!li/1 : : ............................ .. .............. .. 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S,a_ :i a i l - :/ "�' .. .. _. ._ ... .. .. .. .. .. .. 1 .. { r ...:. .. j ! .. .. .. .. .. .. ...~. _ _ fd.. .. .. _.. .. .. f •i. .. .. ........... . ........................................ .. {• ..Pi : .. .. .. .. .. ........... .. .. ................ ......................................... .. y _ _� .. .. : i ++ .. .. _. .. .. ....................... f .. .. .. .. .. .1.. ;.....:......:........... . f ej is • .. i, .. .. .. .. .. .. .. .. .. .. .. .. i ............._. .. .. .. ................. •i Assessor's Parcel Number. ® 51 © — ®® ® — ®E ® Scale: V'= 0` Owner Name AIL., Address / Phone No. `vi Al�- T� � .., E!a ��.� d l �, C ti 0' - 3 z z , tv Site Location A r-tS � Contact: Name i��er Phone FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres ` 4.00” PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: