HomeMy WebLinkAbout017-280-002TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
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owner loc-a4-ion - AP #
Driveway permit has been issued for the above property.
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2-, 41-f 7
date
�chool District
A.P. Number
Property Owner
Property Location/A<
Subdivision
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BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
tBuilding Department No.
Residential Development
Commercial/Industrial
Building Department
Identification No.
(Street
No of Living Mobile
Units Installation
0 0
New Addition
..........................................................:
Sq. Footage
Addition/
-Supplemental
Conversion Permit #
'(No foundation inspection)'
...................................................................................................................
moor mane revieweu oy acnoot uistrtot rersonnet
School District certifies that
(City) J
has complied with the requirements of Resolution No.
representing v j square feet.
n t i !
School District Representative
Paid by Check # Remarks:
i
�S,7Q
(Group R)
Sq. Footage
(Including Exterior
Roofed Areas)
Date
ed
(Applicant)
(Phone Number)_
�] �(State) I� n (Zip Code)',
1 14A__/1' by payment of $ J
AB 2926 $
FULL MITIGATION $
Date
4,
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(x), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency,that this project is being reviewed under the California Environmental Quality Act (CEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeiorm.xls (10/98)dmm
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