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” 'BUTTE COUNTY SCHOOLS DEVELOPMENT FEE"CERTIFICATION FORM
(One For per` Building)
A.P. Number f!r97— /00 -005? Building Department No.
School District 040' 7 City Q County Jurisdiction
J
Property Owner;.
Project Location/Address S A VnA 4et'4/-C7 A
Subdivision ,y,c,,L��/` �'SS-,dfE3 �.iu;Y t �� f Lot Number
Residential Development:
Commercial/Industrial:
f
# of Living MHI
Units
New
Sq. Footage/37,6/
Addition (Group R)
Sq. Footage
Addition (Including Exterior
Roofed Areas)
Buildinq,,D6paptiffEnt Representative Date
*******************************************************************
(Floor Plans reviewed by School District Personnel)
District Id No.
piicant Name
Z-6 / ,�/..�.�.- 4"6
(Street Address
School District certifies that
Phone Number
a
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. -7U -0
OF
by the parepresenting square feet.
9d
SC' ool DistricAt P,,/epresentative Date
PAID BY CHECK NO.
BANK NO
PAID BY CASH
REMARKS:
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)