HomeMy WebLinkAboutADM 01-21-CLOSED AUNT MINNIE00TrF 4', k' , `N ;' r
.- Jb7; CATION AND PAYMENT FOR E TENSION'"""
oras o OF TEMPORARY MOBILE HOME PERMIT
The Butte County Board of Supervisors has made provision for the health, safety and welfare of its special -needs citizens to
allow temporary placement of a mobile home on a smaller parcel than present County Codes and Ordinances permit to
allow family or friends to care for individuals who are unable to properly manage or care for themselves without assistance.
1. Please state the circumstances that apply:
[Provide for care of elderly ❑ Provide for care of persons with disease (either mental or physical)
❑ Other, specify
2. Please state the nature of the relationship between the resident(s) of the existing dwelling and the resident(s) of the
proposed mobile home. `
Welative, specify 0 ft G; h n ❑ Friend
3. Resident(s) of existing dwelling on property: 4. Resident(s) of temporary mobile home:
Name(s) AJI A Al M C V e-- Name(s) Na Vl ! U > t t ti Q Ir' r(_Z-
Address 3 Phone___ 15 6 O) 5 1 f! - 9 ;L Y4
City
Phone h 3 D -__,4 19 - 2 ,S Sl .5L- Ce -ii
U q 57 13 12, t-FO"Y"
We, the undersigned, state at:
1) No rent will be charged to the occupant(s) of the mobile home by the owner or occupant of the real property.
2) Following the initial 2 -year term of the issuance of the Administrative Permit, an extension of time (not to exceed
one year) may be granted if the APPLICATION AND PAYMENT FOR EXTENSION OF TEMPORARY
MOBILE HOME PERMIT is filed with the Department of Development Services 60 days prior to the expiration
date.
3) Upon expiration of the Administrative Permit, the mobile home shall be removed from the property within one
hundred twenty (120) days of the expiration date. The owner of the real property agrees to give permission to the
County of Butte, its officers, agents and employees a right to enter upon said real property and/or to remove the
mobile home from the property and to store same at the owner's sole cost and expense. (Butte County Code
Section 24-295-10)
We agree to the stated stipulations and declare under penalty of perjury that the Bove is true and correct.
Executed on the7,12A IQ& day of,lila , 2006, at , CA.
Head of household of existfng dwelling Hea �of househ d of propose temporary mobile home
ADMINISTRATIVE PERMIT — Fee Renewal for ADM 01-21, Assessor's Parcel # 024-190-017
RENEWAL AMOUNT DUE & PAYABLE BY 07/03/2006: $50.00
Make your check payable to Butte County Treasurer. Complete the Application above and send it
along with your check to: Butte County - DDS, 7 County Center Drive, Oroville, CA 95965-3397
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COUNTY OF BUTTE 456352
OFFICIAL RECEIPT
pi- Aa UB I
An ' FFICE OR WARTIVIENT ISSUING RECEIPT Z
Received from
The Sum of _
For
Received: 065214• J? O ' 0®
CASH E]
CHECK ®'� �
DAVCO BUSINESS FORMS • (530) 743-8511 Form 88887
Received By
zZa
Title
By
Wednesday; July 26, 2006 Development Services
o
PLANNING DIVISION Ver. 1.0
Counter
Person ;Diane
Payment Date07/26/2006
Receipt Number 456352
Received From
1Ellen Meyer
i � I
ALUC
(Airport Land Use
!Same
Applicant
lApplication Number
or In Reference To
;ADM 01-21
- - -
s $0.00
1024-190-017
I
Parcel Number
$0.00
. i
NOD / NOE
(Recording Fee)
Check Number /Cash
;
I i
Aunt Minnie
$1, 500 or $2,000
Total Received ' $50.00
Total Fees
$50.00
DDS Planning
(General Fund)
$50.00
ALUC
(Airport Land Use
Public Works
(Land Development)
$0.00
Environmental Health
$0.00
s $0.00
CDF (Fire Department)
$0.00
. i
NOD / NOE
(Recording Fee)
' $0.00
'
Aunt Minnie
$1, 500 or $2,000
j $0.00
! i
Planning Review / EIR
Fish/Game
i $0.00
ALUC
(Airport Land Use
$0.00
' $0.00
1
Non Sufficient
Funds ($25.00 Fee)
Cell Tower
($2500.00)
s $0.00
Public Sales / Copies $0.00
Ag Fee: $0.00
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APSCATION AND PAYMENT FOR EWNSION
OF TEMPORARY MOBILE HOME PERMIT
cOU N �y
The Butte County Board of Supervisors has made provision for the health, safety and welfare of its special -needs citizens to
allow temporary placement of a mobile home on a smaller parcel than present County Codes and Ordinances permit to
allow family or friends to care for individuals who are unable to properly manage or care for themselves without assistance.
1. Please.state the circumstances that apply:
❑ Provide for care of elderly-- Provide for care of persons with disease (either mental or physical)
❑ Other, specify _
2. Please state the nature of the relationship between the resident(s) of the existing dwelling and the resident(s) of the
proposed mobile home. /I� �//
[ Relative, specify !�`f d g,!A ❑ Friend
3. Resident(s) of existing dwelling on property: 4. Resident(s) of temporary mobile f}ome:
Name(s)1�1�ee/E/� _ Name(s) A1414 C41 %Lc T{P4lIe `Z
Address 2 7 /&o f'i,4 SO,;? Phone
City V / ems. S'9
"hone 5301 lo9S`—/3(2.-,•♦_ .`s�'
We, the undersigned, state that:
1) No rent will be charged to the occupant(s) of the mobile home by the owner or occupant of the real property.
2) Following the initial 2 -year term of the issuance of the Administrative Permit, an extension of time (not to exceed
one year) may be granted if the APPLICATION AND PAYMENT FOR EXTENSION OF TEMPORARY
MOBILE HOME PERMIT is filed with the Department of Development Services 60 days prior to the expiration
date.
3) Upon expiration of the Administrative Permit, the mobile home shall be removed from the property within one
hundred twenty (120) days of the expiration date. The owner of the real property agrees to give permission to the
County of Butte, its officers, agents and employees a right to enter upon said real property and/or to remove the
mobile home from the property and to store same at the owner's sole cost and expense. (Butte County Code
' Section 24-295-10)
We agree to the stated stipulations and declare under penalty of perjury that the above is r e and correct.
Executed on the- day of 2005, at - CA.
x.. • Head,4f homehold, i4ine dwelline Head of_household of Dromsed-teuanorary mobile home
ADMINISTRATIVE PERMIT4Fee Renewal for ADM 01-21, Assessor's Parcel # 024-190-017
RENEWAL AMOUNT DUE & PAYABLE BY 7/3/2005: $50.00
Make your check payable to Butte County Treasurer. Complete the Application above and send it
along with your check to: Butte County - DDS, 7 County Center Drive, Oroville, CA 95965-3397
Cut -line
Received from
The Sum of
For
Received:
LINTY OF BUTTE 4 5131
OFEICIAL RECEI
RDEPAOR T NT I S S U LIN=G REC % IPT V � 20
CASH
CHECK
DAVCO BUSINESS FORMS • (530) 743.8511 Forth 84702
Received By
Title O
By
OUNTY 'OF -BUTTE
OFFICIAL RECEIR- 4 5131
I
OFFICE OR DEPART ENT ISSUING REC IPT Z2O
i-
Received from AP Ji
The Sum of
For I> JM ( ,7' ' �0 i
Received:
Received By
CASH
Title O
CHECK By i
DAVCO BUSINESS FORMS • (530) 743.8511 - Form 84702
i
OUNTY OF RUM.
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PROJECT SUMMARY SHEET
FILE #: ADM 01-21 PROJECT TYPE: Administrative Permit
APPLICANT: Ellen Marie Meyer
ADDRESS: 12236 Robinson Road, Gridley, CA 95948
OWNER: same
ADDRESS:
REPRESENTATIVE:
ADDRESS: ,
PROJECT DESCRIPTION: Administrative Permit for a temporary second dwelling
PROPERTY ZONED: A-40 (Agricultural, 40 -acre parcels) LOCATED: Robinson
Road & Riviera, Gridley
AP#: 024-190-017 TOWN/AREA: Gridley
GENERAL PLAN DESIGNATION:
Application complete: 5/17/01 Amount: $ 300.00 Receipt #: 19517
Comments sent to:
Comments received from:
Rezone Petition Signatures Checked:
Mailing List/Lead-in Sheet:
Assigned To:
Environmental Determination:
Staff Report: Project Video:
Type Use Permit/Send for signature:
N.O.E. / N.O.D. / APPENDIX G: Fish & Game Fees Paid: Yes No
Send validated Use Permit: /C>5Y 0
l
Assessor's Memo: V6-101
Copy of Use Permit / Variance to Planning Technician:
P/-o 3 �o p
�/3/oy sof`/off �--
i/3�Q5 R-//:t/ os 6-o —
>>/3/06 261a6 �;-o
I
I
61 o
C�L A?P-M�
TOTAL PAYMENTS/REFUNDS/CREDITS
NEW BALANCE
New Current period
TOTAL NEW BALANCE
Page 1
AMOUNT TOTA-L
34.00
$34.00
$0 C0
$34 CO
(300.00)
($300.00)
(266.00)
($266.00)
EDate 10/31/01 Development Services
Depotment
Time 3:50 pm Applicant Billing
Worksheet
ADM 01-21 * Ellen Marie Meyer
12236 Robinson Road
Gridley, CA 95948
In.reference to ADM 01-21
Rounding None
Full Precision No
Last .bill
Last charge 05/25/01
Last payment / / Amount
$0.00
Date/Slip# Description
HOURS/RATE _
05/14/01 Diane L. / C
1.00
#35895 Clerical
34.00
1.00
TOTAL BILLABLE TIME CHARGES
TOTAL BILLABLE COSTS
TOTAL NEW CHARGES
PAYMENTS/REFUNDS/CREDITS
05/17/01 Deposit - Receipt #19517
TOTAL PAYMENTS/REFUNDS/CREDITS
NEW BALANCE
New Current period
TOTAL NEW BALANCE
Page 1
AMOUNT TOTA-L
34.00
$34.00
$0 C0
$34 CO
(300.00)
($300.00)
(266.00)
($266.00)
/
�la� of
l4(,io
DATE
RECEIPT
NO.
TOTAL
RECEIVED
PUBLIC
WORKS
LAFCO
PLANNING
PUBLIC
SALES
ENV.
HEALTH
FIRE
NOE/NOD
OTHER
APPLICANT
F/G FEE
REC IVED FROM
RECEIPT 19 610
OFFICIAL RECEIPT
COUNTY OF BUTTE
STATE OF CALIFORNIA
OFFICE OF PLANNING
I
0
DEPART NT OF DEVELOP%NT SERVICES
BU COUNTY UNIFORM AILICATION
APPLICANT: Agent information to be provided is on other side:
APPLICANT' NAME ( If applicant is different from owner an affidavit is required) ASSESSOR'S PARCEL NUMBER:
ADDRESS: ,t► CITY S ATE & ZIP CO E: FIL NUMBER: (FOR OFFICE USE,
o Jm o I -a
NAME OF PROPOSED PROJECT (If any) PHO
LOCATIAN OF�PROJECT ( Majoi cross str gjs and Address, if any )
I� , K?,: - (iFNFRAT. TNFnRMeTTni�r DFnTrro�T, ,.r r '" s> • ,
OWNER'S NAME
GENERAL PLAN AMENDMENT
TELEPHONE
ADDRESS: CITY STATE & ZIP C DE:
O
9
ZONE
GENERALPLAN
EXISTING U E
SITE SIZE ( in Square Feet or Acres )
V �C
O
WAIVER OF PARCEL MAP
O
EXISTING STRUCTURES (in Square Feet)
GtLJ�v�f",v`'FA h0 '.)- ��t oo\ I2.0B+/ 4
PROPOSED STR RES (in Square Feet)
�.
0
BOUNDARY LINE MODIFICATION
O
VARIANCE
(Check One)
(Check One)
0 PROPERTY IS OR PROPOSED TO BE SEWERED
8A PROPER IS R PROPOSED TO BE ON SEPTIC
O PROPERTY IS OR PROPOSED TO BE ON PUBLIC WATER
MINOR VARIANCE
PROPERTY S�R PROPOSED TO BE ON WELL WATER
AYYLIUAI'IUN REQUESTED
O
GENERAL PLAN AMENDMENT
O
TENTATIVE SUBDIVISION MAP
O
REZONE
lei
E (� E 0 1W E
0
TENTATIVE PARCEL MAP
O
USE PERMIT D
V �C
O
WAIVER OF PARCEL MAP
O
MINOR USE PERMIT
MAY 17 200110
0
BOUNDARY LINE MODIFICATION
O
VARIANCE
0
LEGAL LOT DETERMINATION
0
MINOR VARIANCE
BUTTE COUNTY
O
CERTIFICATE OF MERGER
ADMINISTRATIVE PER
PLANNING DIVISION
0
MINING AND RECLAMATION PLAN
0
DEVELOPMENT AGREEMENT
O
OTHER
PROTFrT nP4ZrRTA7TnAi
FULL DESCRIPTION OF PROPOSED PROJECT (Attach necessary sheets. If this application is for a land division, describe the number and
size of parcels.)
OWNER CERTIFICATION
1 CERTIFY THAT I AM PRESENTLY THE LEGAL OWNER OR THE AUTHORIZED AGENT OF THE OWNER OF THE ABOVE DESCRIBED PROPERTY.
FURTHER, I ACKNOWLEDGE THE FILING OF THIS APPLICATION AND CERTIFY THAT ALL OF THE ABOVE INFORMATION IS TRUE AND
1]
ACCURATE. (If an agent is to be authorized, execute an affidavit of authorization and include the affidavit with this application.)
DATE: SIGNATURE:
• •
AGENT AUTHORIZATION
To Butte County, Department of Development Services;
Print Name of Agent and Phone Number
Mailing Address
is hereby authorized to process this application for
on my property, identified as Butte County Assessor Parcel Number
This authorization allows representation for all applications, hearings, appeals, etc. and to sign all
documents necessary for said processing, but not including document(s) relating to record title
interest.
Owner(s) of Record: (sign and print name)
Print Name
Signature
Print Name
Signature
Architect and/or Engineer:
Print Name of Architect/Engineer and Phone Number
1 1
Mailing Address
FOR OFFICE USE ONLY
Verify:
Date Received:
AP Number(s)
Owners Authorization
r jest Description �p,��
Taken by Receipt No. 1 -l5 1.� E.H.
Total Amount Received: A511%
Legal Description
Zoning Requirements
Copies of plot plan
LD Plan FD
Payment of the currently required Application Fee and/or Deposit (Any unused portion of a deposit)
will be returned upon final action.
Current fee for this application is $ ZOD .6b- as of
Make check payable to "Butte County Treasurer".
r
AFFIDAVIT OCLATIONSHIP FOR A TEMPO*Y MOBILE HOME
The Board of Supervisors has found that for the health, safety, and welfare of the people of the County that it has often become necessa-y
for the care of persons who by reason of old age, disease (either mental or physical), infirmity or other cause, are unable, unassisted, :o
properly manage and take care of themselves, or would benefit from familial assistance, to allow mobile homes to be placed on smaller parcels
than present County Codes or Ordinances permit, so that such persons will not have to be institutionalized, but rather can reside near their
close relatives who can help care for them. The ability to care for one's close relatives will not only result in better care for citizens, but w=11
also negate in many situations the necessity for public assistance which many citizens find degrading and damaging to the pride of the persons
concerned and their immediate relatives. This will also provide privacy and dignity for the relative as well as independence, of which these
people are deserving.
2. Please state the nature of the relationship between the resident(s) of the existing dwelling and the resident(s) of the proposed
mobile home: (describe relationship by blood or marriage. In cases involving close friends, describe nature of friendship,
number of years known, _tc.) �, rl N „ -
3. Resident(s) of household of existing dwelling on the property:
Name �.f_ /irilp� �i� Name
I
Phone # ( )Z � S --1 _? 1)
4. Resident(s) of mobile home proposed to be temporarily placed on the property:
NamerName Idad J� �/ �Y���hone #
Address
5. Number of persons residing in existing dwelling: "k __ in proposed temporary mobile
6. Assessor Parcel Number on Property: Q oZ- j% ! 6" 0/ 7 Renewal Date
a / S !
2
We the undersigned state that no rent will be charged to the occupant(s) of the mobile home by the owner or occupant of the real property.
In the event the requested Administrative Permit is granted, we also agree to and do hereby give the County of Butte, its officers, agents, and
employees, a right to enter upon said real property and to remove the mobile home from the property and to store same at our sole cost and
expense in the event the mobile home is not removed from the property within one -hundred twenty (120) days of the expiration of the
Administrative Permit pursuant to Butte County Code Section 24-295.10.
We Declare under penalty of perjury that the above is true and correct.
Executed on the j da'y of 'jA' at
Head of Househol of existing dwe ing Head of Househol of proposed telwporary mobile home
J:IteT'plaffidavi.wpd
California.
0
- 1-
0
D ECEOWE
MAY 1 7 2001
BUTTE COUNTY
PLANNING DIVISION
ADMINISTRATIVE PERMIT
Temporary Mobile Home
SUBMITTAL REQUIREMENTS
Prior to submitting an Administrative Permit application, it is requested that the applicant discuss
the application requirements. County procedures, zoning provisions and possible conditions of
approval with the Development Services Staff.
The following items are required to be submitted at the time of application:
The completed, signed, Uniform Application and Affidavit. If the application is signed by
an agent for the property owner, and agent authorization form must be submitted along with
the Application. The Application shall not be accepted unless signed by the owneror
legal agent.
2. Three (3) copies of a plot plan drawn to scale. The finished maps shall be folded to 8
'/z" x 11 V. The plot plan must include:
* Name and address of Applicant/Owner.
* Property lines and lot dimensions
* Assessor Parcel Number(s) and the street address.
* Dimensioned locations of existing and proposed dwellings and improvements on
the property (including, but not limited to , buildings, driveways, parking areas,
wells, septic tanks and leach fields). Label all items shown on the map.
* North arrow and scale of drawing.
* All plans must be clear and legible.
3. Applicant is responsible for obtaining required permits from the Divisions of Environmental
Health and Building prior to the placement of the temporary mobile home.
4. Applicant is required to provide a surety bond, cash deposit, or timed certificate of deposit
to ensure the removal of the mobile home at the end of the permitted period. If the
mobile home is removed at the.end of the permitted period, the deposit, or surety bond,
shall be returned to the applicant upon verification of the mobile home removal. The
amount of the bond or deposit shall be $1,500 for a single -wide mobile home, or $2,000
for a double -wide mobile home.
5. Payment of the currently required Application Fee.
Fee Amount $ 3 OO . o d Date
�v c 46 SO.00 Pea- y enr- Q
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MAY I
BUTTE COUNTY
PLANNING D1V1b10%
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Date: 07/08/2010 Period: 1/11 1
...............
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FUND
;0010 — ^] COUNTY GENERAL FUND 0010 Year 2010 w t -
Cost Center ; 0001 DEVELOPMENT SERVICES Period C3 —�Attachments f
:___._._....._..___._.._.__ iii ,
Account 1,536 PROF 8 SPECIALIZED SERV Transaction Code 21 Accounts Payable Check )Notes
PROJ/TASK L----� Transaction Date 09/18/2009 11
PROJlTASK ACCT �� Date Entered
Cash Account ;101130 15 PLANING 2ND DWELLING DEPS Due Date 09/18/2009 _
1
Vendor ,T363( 94 NANCY JENSEN� Invoice Date 09/18/2009 3
Receivable Account Discount Amount 0.00;
1
Disbursement Fund 111505 CO WARRANTS CLRNG F 1505 Check Number ',
ENCUMBRANCE !0 Check Date 09/18/2009
� J E Number _ � I Qfn• �,� Partial/Final
Invoice/Receipt 'ATR#35511 rj! WWI,I1 J 1099 N No 1_099 iv i
Amount F7 2038.30 V� Cleared JY - Cleared Checks Only -� t
Sales/Use Tax i 0.00 0.001 Void v { !
} Description •PR/INT6/25/01-9/18/09 Control Number DC918TR
Entered By jklyle j Bank Code
Warrant Number
Back(Ctrl+P) OVP
�1 2
County of Butte
Oroville, California
GENERAL CLAIM
NAME: Nancy Jensen (AKA Nancy Gutierrez)
ADDRESS: 2180 Larkin Road
IMPORTANT:
CITY & STATE: Biggs, CA 95917 SEE INSTRUCTIONS
ON REVERSE SIDE
DATE OF CLAIM: 07/22/09
SUBMIT CLAIM TO DEPARTMENT RECEIWNG GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
Refund of Deposit to secure removal of Mobile Home for ADM 01-21.
SUB. OBJ.
CLAIM NO.
Verification made that mobile home has been removed.
Refund authorized by Development Services
$1,500.00
Recei t 19610 Date 6/21/01
These funds should be refunded from:
0010 0 440001 10113051 Planning Second Dwelling De s
V I
TOTAL
$ 1,500.00
I, the undersigned, declare under penalty of pedury that the services or articles claimed have been performed or delivered, and that this
claim is true and correct as stated.
Date this day of , 2009, at UNAVAILABLE Calif.
Signature of Claimant
1, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de-
livered and that there is a Budget Appropriation or Specific Board Approval (Check o0eMr 9e.0Q. „ I
Dated this 22nd day of July , 2009, at Oroville Calif.
Del%rtment Head or Authorized Deputy
Dept. Exp.
Code see above Code PAYABLE FROM
DO NOT WRITE BELOW THIS
LINE - AUDITOR'S USE
ONLY
DEPT & SUB.
PROJ.
SUB. OBJ.
CLAIM NO.
GROSS AMT.
lo,u
sbox
7
'DATE.
RECEIPT
NO.
TOTAL
RECEIVED
PUBLIC
WORKS
LAFCO
PLANNING
PUBLIC
SALES
ENV.
HEALTH
FIRE
NOE/NOD
F/G FEE
OTHER
0 -;7-
AO �A,0 M of -a-/
A� o� y-190- D! 7
OFFICIAL
OFFICIAL RECEIPT
511,en Ineyer
COUNTY OF BUTTE
STATE OF CALIFORNIA
IZZ347 441*050n l""71
OFFICE OF PLANNING
6 r /A4/ 6, el S--7 Vs:;,
en
APPLICANT REC IVED FROM
RECEIPT
1961-0
r.
ti
COUNTY OF BUTTE
AUDITOR'S CERTIFICATE AND TREASURER'S.RECEIPT
OROVILLE, CA
ATR NO 35511
RECEIVED FROM PLANNING
BAG # 328 DATE 6/2512001.
FUND FUND DEPT ACCT CASH
DESCRIPTION INV# TITLE CODE CODE CODE CODE AMOUNT
DEPOSIT DATE: 6-22
RECEIPTS: 19610-19616
PUBLIC WKSlLND DEVL GENL 0010. 440004 4611700 101001 290.00
USE PERMITS GENL 0010 480001 4210900 101.001 1,319.25
ENVIRONMENTAL HLTH GENL 0010 540003 4614901 40100.1 241.50
FIRE PLNG APP FEE FIRE PROTCTN 0100 4617240 10100.1. 129.00
AUNT MINNIE 2ND PLNG 2ND DEVL 1001 280 1011305 .. 11-500:00
TOTAL $. 3,479.75
APPROVED BY: RECEIVED BY:
AUDITOR -CONTROLLER TREASURER
B By:�
white=treasurer pink=auditor canarddepositor golden rod=file
C"D--1�3ew.l-.ice
1.
0
County of
Butte
OROVILLE, CALIFORNIA
GENERAL CLAIM
CLAIMANT:
NANCY JENSEN AKA NANCY GUTIERREZ
ADDRESS: 1
12180 LARKIN ROAD
CITY & STATE:
BIGGS CA 95917
DATE OF CLAIM:
9/18/2009
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELA
AMOUNT
9/18/2009
ADM:01-21
INTEREST:
538.30
REFUNDABLE FEES/DEPS COLLECTED:
1,500.00
LESS COSTS & NON-REFUNDABLE FEES:
0.00
TOTAL:
$2,038.30
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REFUNDTOTAILl
$2,038.30
the services or articles dented have been performed or delivered, and Net Nls
cWm Is true and correct as stated.
Dated dds
day of
1 1 2009 1. at 1
1, Calif.
I, Ne undersigned. hereby certify
Vol. to the best of my plow/ a. Na services or argdes specified
above have been perfeffned or
Slgn=mofCwmam
deilvered and Nat Here Is a budget Appropriation or specific Board Approval diedc one for same.
Dated this 15TH day of
r
SEPT 2009 , at
Orovllle Calif.
t
I
I
0—eprtmerd Head or Aulhortzed De
De
Code
Code PAYABLE FROM
FUND
DO NOT WRITE BELOW THIS LINE -AUDITOR'S USE ONLY
DEPT. 8 SUB PROJ.
SUB. OBJ. CLAIM NO.
INV. NO. INV. DATE
ENCUMB.
GROSS AMT.
SEE ABOVE
SEE ABOVE
$2,038.30
1.
0
County of Butte
Oroville, California
GENERAL CLAIM
NAME: Nancy Jensen (AKA Nancy Gutierrez)
ADDRESS: 2180 Larkin Road
IMPORTANT:
CITY & STATE: Biggs, CA 95917 SEE INSTRUCTIONS
ON REVERSE SIDE
DATE OF CLAIM: 07/22/09
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
Refund of Deposit to secure removal of Mobile Home for ADM 01-21.
Verification made that mobile home has been removed.
Refund authorized by Development Services
$1 .00
Receipt 19610 Date 6/21/01
.01
These funds should be refunded from:
0010 0 4400010113051 Planning Second Dwelling Des
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TOTAL
$ 1,5 Lm 0
I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and thar6s
claim is true and correct as stated.
Date this day of 2009, at UNAVAILABLE , Calif.
Signature of Claimant
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de-
livered and that there is a Budget Appropriation or Specific Board Approval (Check or�J r$e n . _,, I
Dated this 22nd day of July , 2009, at Oroville Calif.
Head or
Dept. Exp.
Code see above Code PAYABLE FROM
DO NOT WRITE
DEPT & SUB. PROJ. SUB. OBJ. CLAIM NO. GROSS AMT.
''1:4 �•
COUNTY OF BUTTE
AUDITOR'S CERTIFICATE AND TREASURER'S RECEIPT
OROVILLE, CA
ATR NO
35511
RECEIVED FROM
PLANNING
BAG #
328
DATE
6/25/2001
FUND
FUND
DEPT ACCT
CASH
DESCRIPTION
INV# TITLE
CODE
CODE CODE
CODE
AMOUNT
DEPOSIT DATE: 6-22
RECEIPTS: 19610-19616
PUBLIC WKSILND DEVL
GENL
0010.
440004 4611700
101001
290.00
USE PERMITS
GENL
0010
480001 4210900.
101001
1,319.25
ENVIRONMENTAL HLTH
GENL
0010
540003 '4614901
10100.1
241.50
FIRE PLNG APP FEE
FIRE PROTCTN
01'00
4617240.
101001.
129.00
,.AUNT MINNIE 2ND
PLNG 2ND DEVL'
1001
280
1011305...
11-500.00
TOTALS
3,479.75
APPROVED BY:
RECEIVED BY:
AUDITOR -CONTROLLER
TREASURER
e
BY:
i'
white -treasurer pinkma ditor canaldepositor
golden rod=file
'
'DATE, RECEIPT TOTAL PUBLIC LAFCO PLANNING PUBLIC ENV. NOEMOD
NO. RECEIVED WORKS SALES HEALTH FIRE FIG FEE OTHER APPLICANT HEC IVED FROM
RECEIPT
lQo-ol -71.9 61.0
OFFICIAL RECEIPT
511en meuer COUNTY OF BUTTE
G / STATE OF CALIFORNIA
OFFICE OF PLANNING
lZZ alp 441,05-0n l�
ISSU D t
ew 7 OFFICIAL RECEIPT
COUNTY OF BUTTE
n aieV er STATE OF CALIFORNIA
G / OFFICE OF PLANNING
�z2 34,G��so
RECEIPT
.19610 19610
av
cu.Effm
L)le-Y,12
A 7A
' f)ATF_
RECEIPT
NO.
TOTAL
NECEIVEO
PARI IV.
WORK i
LP'I-l'U
FiLANNIIVG
fUDLiC
SALES
EIVV.
HEALTH
FIRE
NOE/NOD
F/G FEE
OTHER
APPLICANT
REC IVED FROM
ew 7 OFFICIAL RECEIPT
COUNTY OF BUTTE
n aieV er STATE OF CALIFORNIA
G / OFFICE OF PLANNING
�z2 34,G��so
RECEIPT
.19610 19610
19M61-7
ITRAIGHT BILL OR LA•DINU, SHIPPING ODDER AND FREIGHT BILL
Al 0'Ot� —I '7 0 — Ql '/ D `' R • ' Je/v1ir� DATE: ��/� ^ O
Pleh mei e a, 1 DRIVER: perry
-I2-Z3(e-obtvLsoYL
`R� STATE PERMIT:
DILL TO: Name end Address
FROM: Name and Address
SHIP TO: Name and Address (C 8 D)
DELIVER TO: Name and Address
INITIAL ❑ SECONDARY ❑ TOW ❑ HAUL ❑ TOW A HAUL ❑ COLLECT ❑ PREPAID ❑
HEIGHT
WIDTH
LENGTH
MAKE SERIAL NUMSER(S) DESCRIPTION
MILES
CHARGES
) q
l
y
Ynob!`r/dr Norrie
ACCESSORIAL SERVICES -PREPARATION TO MOVE, REPAIP.fIN TRANSIT, OFF HIGHWAY SERVICE
T1ROW NEW ❑ USED ❑ SIZE A OF AXLES A OF BRAKES KEYS LEFT:
DAMAGE NOTATION
ARRIVING TIME AT PICKUP POINT TIME SHIPMENT RELEASED TO CARRIER
ATTENTION SHIPPER/CONSIGNEE
This contract Is subject to Conditions and Charges of the Classifications and Terllfs In effect on Ilia date of the Issue of this term..
Common law exemptions apply to loss or damage caused by Act or God, detects In properly. Act of Shipper or Public Authority. Carrier not liable for any damage caused by structural falluro
ss defined In applicable Tariff. Cargo loss eoverod up to $20.000.00 maximum per shipment. If additional coverage Is requested, the shipper or consignee requesting shelf be liable for additional
amount of coverage.
Claim shell be filed with terrier as provided for in the appropriate PUC or ICC regulations governing this shipment. No portion of any Irelght charges duo carrier shell be withheld for alleged
damages.
All chargee due and payable upon completion of shipment. If credit Is established, all charges due and payable as staled In credit rules of agency regulations governing shipment. Cartier
may file action for total charges at debtors/owners expense It charges are not paid In credit period. Charges not paid within ten days pest due date shall be subject to Interest chargee at the
rale of 1.616 per month.
Carrier will transport over legally permitted routes to points adjacent to public highways which do not require extra labor or equipment to deliver or which will not be hazardous, unless the
owner by his Initials here ( ) agrees to accept liability for damage and pay the extra charges Incurred. Shipper warrants that the properly described herein meals all standards Imposed
by law and agrees to reimburse terrier for cost Incurred and accept responsibility for noncompliance.
Delay time In excess of K hour for pickup end/or delivery will be charged for. II consignee refuses delivery the shipment will be placed In storage at owner's expense.
Cartier not responsible for Pre, theft or vandalism to any unit while In storage.
NO PERSONAL CHECKS ACCEPTED. •
IMPORTANT NOTICE
Then charges Include (1) lees to pay for regulation of Irensporlellon companies by the California Public Utilities Commission and (2) taxes paid to California cities Instead of excise or buolnoos
reme I taxes timl could otherwise Impose.
u
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(ko iM--4J/qem6/—ZJTRAIGHT BILL OF CADING, SHIPPING ORDER AND FREIGHT BILA,
yof -7 DATE:
Ellen meyeg-, 1
DRIVER:
�Lz3�e r-0bt tlso>2 ��
r (aJAJ ell, 45 Ir it 5rl STATE PERMIT:
GILL TO: Name and Address
FROM: Name and Address
SHIP TO: Name and Address (C 8 D)
DELIVER TO: Name and Address
INITIAL 0 SECONDARY ❑ TOW ❑ HAUL ❑ TOW & HAUL ❑ COLLECT ❑ PREPAID D
HEIGHT
WIDTH
LENGTH
MAKE SERIAL NUMBER(S) DESCRIPTION
MILES
CHARGES
$
PILOTS
Hare
ACCESSORIAL SERVICES -PREPARATION TO MOVE, REPAIP JN TRANSIT, OFF HIGHWAY SERVICE
TIRED: NEW ❑ USED ❑ SIZE 9 OF AXLES s OF BRAKES KEYS LEFT:
NOTATION
ARRIVING TIME AT PICKUP POINT TIME SHIPMENT RELEASED TO CARRIER
ATTENTION SHIPPER/CONSIGNEE
Tule contract Is subject to Conditions and Charges of the Classifications and Tariffs in effect an the dela of the Issue of this form..
Common law exemptions apply to loss or damage caused by Act of God, defects In properly, Act of Shipper or Public Aulhorlty. Carrier not liable for any damage caused by structural felfur.
as dallned In applicable Tariff. Cargo 1033 'Covered up to $20,000.00 maximum per shipment. If additional coverage Is requested, the shipper or consignee requesting shell be liable for addlllon&
amount of coverage.
Claim shell be filed with carrier as provided for In the appropriate PUC or ICC regulations governing this shipment. No portion of any freight charges duo carrier shell be withheld for allogei
damages.
All chargee due and payable upon complellon of shipment. If credit Is established, all charges due end paysble as stated In credit rules of agency regulations governing shipment. Carrier
may file action for total charges at deblors/owners expense If charges are not paid In credit period. Chargee not paid within ten days past due date shaft be subject to Interest charges at the
rete of 1.6% per month.
Carrier will transport over legally permitted routes to points adjacent to public highways which do not require extra tabor or equipment to deliver or which will not be hazardous, unless the
owner by his Initials here ( ) agrees to accept liability for damage and pay the extra 'charges Incurred. Shipper warrents that the property described herein meels all standards Imposec
by law and egreea to reimburse carrier for cost Incurred and accept responsibility for noncompliance.
Delay time in excess of % hour for pickup and/or delivery will be charged for. It consignee refuses delivery the shipment will be placed in storage at owner's expense.
Cartier not responsible for fire, theft or vandallsm to any unit while in storage.
NO PERSONAL CHECKS ACCEPTED.•
IMOORTANT NOTICE it
Thies charges Includa (1) fees to pay for regulation of transportation companies by the California Public Utilities Commission and (2) taxes paid to"Callfomis cfllee Instead of excise or bushress
license taxes Btslf could otherwise Impose.
THIS SHIPMENT HAS BEEN PREPARED FOR TRANSPORT BY SHIPPER AND IS WARRANTED TO BE LEGAL WEIGHT, HEIGHT, WIDTH
AND SAFE TO BE TRANSPORTED AT LEGAL SPEED TO THE DESTINATION LISTED HEREON. DRIVER WILL BE HELD HARMLESS FOR
IN -TRANSIT DAMAGE DUE TO DEFECT IN THE PROPERTY., ACTS OF THE SHIPPER OR ACTS OF A PUBLIC AUTHORITY.
ALL TERMS AND CONDITIONS INCLUDING NOTATIONS HEREON ARE ACKNOWLEDGED BY:
SHIPPER
SIGN
HERE X DATE:
RECEIVED IN GOOD VISIBLE CONDITION EXCEPT AS NOTED HEREON. DAMAGES OUT OF SIGHT OF DRIVER NOT ACCEPTED
DRIVER
SIGN
HERE X
ER AND HEREBY ASSIGN A LIEN
CML CODE OR APPLICABLE CODE
DATE:
SIGN
HERE X DATE:
ON THE BILLING
ILIC AUTHORITY,
IN THE AMOUNT
ON OF DELIVERY.
FREIGHT.
$ ,
PERMITS
$
FUEL SURCH.
$
$
PILOTS
$
INSURANCE
$
SERVICE CHARGE
$
E
$
$
S
TOTAL CHARGES
$
OM
oAq-1 qo -017
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-017
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--.rte
' DATE
RECEIPT
NO.
TOTAL
RECEIVED
PUBLIC
WORKS
.
LAFCO
I
PLANNING
PUBLIC
SALES
ENV.
HEALTH
FIRE
NOE/NOD
F/G FEE
OTHER
APPLICANT
REC IVSD FROM
,4,0l�pn?
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17- Z 30 4�i 056' )' l2il
`i S'�`� y�
OFFICIAL RECEIPT
COUNTY OF BUTTE
STATE OF CALIFORNIA
OFFICE OF PLANNING
RECEIPT
AFFIDAVIT OF RELATIONSHIP FOR A TEMPORARY MOBILE HOME
,The Board of Supervisors has found that for the health, safety, and welfare of the people of the County that it has often become
necessary for the care of persons who by reason of old age, disease (either mental or physical), infirmity or other cause, are
unable, unassisted, to properly manage and take care of themselves, or would benefit from familial assistance, to allow mobile
homes to be placed on smaller parcels than present County Codes or Ordinances permit, so that such persons will not have to:
be institutionalized, but rather can reside near their close relatives who can help care for them. The ability to care for one's.
close relatives will not only result in better care for citizens, but will also negate in many situations the necessity for public.
assistance which many citizens find degrading and damaging to the pride of the persons concerned and their immediate
relatives. This will also provide privacy and dignity for the relative as well as independence, of which these people deserve.
1. Please state the circumstances that
PSS
44-t. -61-4 /vdxv -60 (ems 641-u � Allu
2. Please state the nature of the relationship between the resident(s) of the existing dwelling and the resident(s) of the proposed
mobile home (describe relationship --b}}'' blood or marriage. Inc ses mvolvin close f ends, describe`nature of friendship,
number of years known, etc.): d/etdr av — Q G4 ez. e ��d
3. Resident(s) of household of existing dwelling on the property:
Name X11 f: k1 Name
Address
Phone # it 0 - 60 9 Sr /3 Q_
4. Resident(s) of mobile home proposed to be temporarily laced on the property:
Name V.4t7 V �,uiilrre2Name CVreZ Phone# 1530-5ls�-��f�6�
AddressSoyl
5. Number'of persons residing in existing dwelling: - ; in proposed temporary mobile
Assessor Parcel Number on Property: 024-190-017
File Number: ADM 01-21
Renewal Date: 7/3/2004
We the undersigned state that no rent will be charged to the occupant(s)'of the mobile home by the owner or occupant of the
real property. In the event the requested Administrative Permit is granted, we also agree to and do hereby give the County of
Butte, its officers, agents, and employees, a right to enter upon said real property and to remove the mobile home from the
property and to store same at our sole cost and expense in the event the mobile home is not removed from the property within
one -hundred twenty (120) days of the expiration of the Administrative Permit pursuant to Butte County Code Section 24-
295.10.
We Declare under penalty of perjury that the above is true and correct. I
Executed on the day of 4LLZ 2004, at iii , California
Head of Household of existing dwelling Head Household of proposed temporary mobile home
Document1
May 5, 2004
Ellen Marie Meyer
12236 Robinson Road
Gridley, CA 95948
Re: Temporary Second Dwelling
APN 024-190-017, ADM O1-21
Dear Ms. Meyer:
On 7/3/2001, the Butte County Director of Development Services approved your permit for a
temporary second living unit on your property for Nancy Ellen Jensen. Section 24-304, as
amended, of the Butte County Code, provides that your permit shall be only for a term of two
years, and must be renewed annually if the use is to continue.
Effective July 12, 1993, the Butte County Board of Supervisors adopted an annual renewal fee of
$50.00 for temporary second dwellings.
Inasmuch as your renewal expires on 7/3/2004, you are hereby advised to apply for a renewal.
Please complete the enclosed renewal form and return it to this office with your check in the
amount of $50.00 made payable to the Butte County Treasurer.
Should you have any questions regarding this matter, please contact this office.
Sincerely,
Roni Thornton ILE COPI
Office Assistant II
Documentl
■ Complete items 1, 2,13. Also complete
item 4 if Restricted De every is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
Ellen Marie Meyer
12236 Robinson Road
Gridley, CA 95948
ADM 01-21
A. Received by (Please Prl'ady) R. . Bate �Delivery-
C. C. Sig ture
X ❑Agent
❑ Addressee
D. Is delivery add ss di erent froitem 0 ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
Wertified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number (Copy from service label)
7099 3400 0016 8126 inns
PS Form 3811, JUly.1999 Domestic Return Receipt 102595-00-M-0952
UNITED STATES POSTAL SERVICE
0 Sender: Please print your name, address, and ZIP
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES
PLANNING DIVISION
7 County Center OM
Oroville, CA 95965.3397
No. G-10
in this &3 200
NO Count
LAND OF NATURAL WEALTH AND BEAU -TY
OR
'51
� PLANNING DIVISION
, . � ,. DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7601
FAX: (530)538-7785
July 5, 2001
Ellen Marie Meyer
12236 Robinson Road
Gridley, CA 95948
CERTIFIED MAIL
Re: Administrative Permit, AP 024-190-017
Dear Ms. Meyer:
Enclosed is your validated Administrative Permit No. ADM 01-21 to allow a temporary mobile
home on property zoned A-40 (Agricultural, 40 -acre parcels). The property is located at 12236 .
Robinson Road, Gridley, CA 95948..
Should you have any questions regarding this matter, please contact this office between 8:00 a.m.
and 4:00 p.m., Monday through Friday. `
Sincerely,
Dia Mellen
Office Assistant III
Enc.
cc: Land Development Division
Building Division
Environmental Health
Department of Forestry
Ln
ru
0
a
ru Postage '$ }
CO Certified Fee'
Postmark
_a Return Receipt Fee Here
r j (Endorsement Required) - • ,
Restricted Delivery, Fee +� ,
-3 (Endorsement Required) 7/6/01
C3 L�
0 • -Total Postage & Fees $
M Recf ient's Name (Please Print Clearly) (to be completed by mailer)
E°11en Marie•Meyer
------ t. N - r p ------- - --- ------------------------------------------
� Street, Apt. No.; or PO Box No. "
Q- 12236 Robinson Road, - ,
C3--------------------------------------------------------------------------------- =
r'� C' State, ZIP+4
al,ridley, CA 95948
0
ADMINISTRATIVE PERMIT for TEMPORARY MOBILE HOME
TO: Ellen Marie Meyer
FROM: Tom Buford, Interim Director, Development Services
DATE: June 21, 2001 File#ADM 01-21
PURPOSE: Administrative Permit for Ellen Marie Meyer on APN# 024-190-017 for a temporary
second dwelling to be located at Robinson Road & Riviera, Gridley, on property zoned
A-40 (Agricultural, 40 -acre parcels).
PERMIT REQUIREMENTS: Approval for a temporary second dwelling is subject to the following
requirements:
A mobile home certified under the 1974 National Mobile Home Construction and Safety Standards
Act: Occupancy of the mobile home shall be limited to Nancy Ellen Jensen. An affidavit attesting
to the relationship of the involved parties was submitted with the permit application.
2. No rent is to be charged to the occupant of the mobile home.
The temporary mobile must meet the requirements of the Butte County Environmental Health
Department for domestic water supply and sewage disposal. The granting of this permit does not
remove the requirement of obtaining the appropriate permits from other Divisions, Departments, or
Districts.
4. The siting of the mobile home shall be exempt from the site requirements of the residential zoning
district, except as required by Butte County Code Chapter 24, and the Butt County Code Chapter 28A.
5. The mobile home is declared to be a temporary use on the property, accessory to the primary unit, and
shall not be placed on a permanent foundation. Additionally, a temporary mobile home shall not be
permitted'on a lot or parcel where there is an approved Second Unit.
6. The permit shall be granted for a term of two years. Extensions of the term for the permit, not
exceeding one year for each extension, may be granted if the application for the extension is filed,
with the Planning Division, within 60 calendar days prior to the date of expiration.
7. The mobile home shall be vacated upon expiration, or revocation, of the Permit and removed within
one hundred twenty (120) days after expiration of the Permit. If it is not removed within one hundred
twenty (120) days, the County shall remove said mobile home and store it at the owner's expense.
8. The Permit may be revoked if any of the terms or conditions of the Permit are violated or if any acts
or omissions of the permittee in connection with the use authorized by said Permit constitute a public
nuisance.
9. The applicant must maintain a bond or deposit in the amount of $1,500 for a single -wide mobile home
or $2,000 for a double -wide mobile home.
Permittee Signature Date Randy Wilson, Principal Planner Date
N:
RE
I
`
: —I-
1
16.13
Date: July 5, 2001
E
MEMORANDUM
PLANNING DEPARTMENT
TO: Butte County Assessor's Office
FROM: Butte County Planning Department
SUBJECT: Ellen Marie Meyer, ADM 01-21
DATE: July 5, 2001
Pursuant to Section 65863.5 of the Government Code, the following parcel identified as 024-190-
017, was:
Rezone from to . zoning district.
Granted a variance to
X Issued a conditional Administrative Permit for a temporary second dwelling,
Robinson Road & Riviera, Gridley,A-40 (Agricultural, 40 -acre parcels)
SENDER:
■Complete items 1 jg&or 2 for additional services.
■Com Complete items nd 4b.
■Print your name 4Wdress on the reverse of this form so that we can return this
I also Wish to receive the
In services for an
-fee):
card to you.
■Attach this form to the front of the mailpiece, or on the back if space does not
1. ❑ Addressee's Address
permit.
■ Write'Retum Receipt Requested' on the mailpieoe below the article
number.
2. ❑ Restricted Delivery
■The Return Receipt will show to whom the article was delivered and the date
delivered.
Consult postmaster for fee.
3. Article Addressed to: P,J yn O1, A
4a. Article Number
�o993 y0000 i 6 91 a 613W
y� �
I I E rl I 0 10.121 Mea e-k
4b. Service Type
l a a 3 6 Ro b P,
❑ Registered Of Certified
1 nS o h 0 0.)
❑ Express Mail ❑ Insured
i
CC i
iCIG 9 9y g
11Return Receipt for Merchandise ❑ COD
7. Date of Delivery
5 o
_2V
5. ceive y: (Print ame)
8. Addressee's Address (Only if requested
7 ; (\,„ d P i __Y) Al-
and fee is paid)
6. Signature: (Addressee orAgFent)
X
PS Form 3811, December 1994
Receipt
UNITED STATES POSTALRVICE First -Class Mail
stage & Fees Paid
PS
r' t�ISIo�G-10
• Print your name, address, and ZIP Code iVtWg box •
MAY 2 4 200
COUNTY OF BUTTE \ ��
DEPARTMENT OF DEVELOPMENT SERVICES �s
PLANNING DIVISION
7 County Center Dive
Orovift% CA 959653397
a
CA
May 22, 2001
Ellen Marie Meyer
12236 Robinson Road
Gridley, CA 95948
Re: Administrative Permit, AP 024-190-017
Dear Ms. Meyer:
�[ltte lrouwl/
r
LAND OF NATURAL WEALTH AND BEAUTY
PLANNING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7601
FAX: (530) 538-7785
Enclosed are the original and one copy of your conditional Administrative Permit No. ADM 01-21. Please
sign and return both copies to this division within 30 calendar days from the receipt of this letter. We will
then have them validated by the Director of Development Services and the original will be returned to you -
for your records.
Please be aware that failure to return the signed copies within 30 days will result in the Administrative Permit
becoming invalid. Re-application to this department would then be necessary to proceed with the project.
The Administrative Permit is deemed granted when this permit has been signed by the applicant, with the
counter signature of the Director of Development Services, a bond or deposit is made, and said permit is
received by the applicant by Certified mail.
Should you have any questions regarding this matter, please contact this office between 8:00 a.m. and 4:00
p.m., Monday through Friday. �Postal
Sincerely,
Diane Lewellen
Office Assistant III
Enc
o-
ru Postage $
cc Certified Fee -
IAN.:..
• ;4r r Return Receipt Fee' _
(Endorsement Required) l'
C3 :
Restricted DeliveryFee
t7 (Endorsement Required)
p t ,Total Postage & Fees
Postmark
%a31 of
M,
Recipientls Name (Please Print Clearly) (to be completed by mailer) c
I I'YL aie,._I'l�v
1.
-
cr street, Apt. No.; or PO Box No.
U-I�a36---+---s------------------------
____---b •., ,
City, State, ZIP+4 ,
c- Iii Ie(A 9 yg
LEAD IN SHEET
FILE NO: /J� ��—c� I AP#
APPLICANT: E l l eh lr oukl e. MY 4e g,
OWNER:
REPRESENTATIVE:
REQUEST:
SIZE:
LOCATION:
SUPERVISORAL DISTRICT # _EXISTING ZONING:
ZONING HISTORY:
SURROUNDING ZONING:
SURROUNDING LAND USE:
SITE HISTORY:
GENERAL PLAN DESIGNATION:
APPLICABLE REGULATIONS:
•
C�
CE
M AY 17 2001 0
BUTTE COUNTY
PLANNING DIVISION
T. 17 N. R. V. !A. D.S.
11� ►
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5374c
0
.SBE4s2-4,-/
T A.C.
0
0
•
(� L CEI V E
U
M AY 17 2001
E3UTTE COUNTY
PLANNING DIVISION