HomeMy WebLinkAboutADM20-0043 WPZ Application_ApprovedButte County Department of Development Services FORM NO PERMIT CENTER
7 County Center Drive, Oroville, CA 95965
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COUNTY PLA-03 Main Phone (530) 538-7601 Permit Center Phone (530) 538-6861 Fax (5�?4'R8-(fb5 2020
JERVICES WATERSHED PROTECTION OVERLAY ZONE
ADMINISTRATIVE PERMIT (BCC 24-46 ET SEQ.)
APPLICANT INFORMATION
PHONE NUMBER
E-MAIL
PROPERTY INFORMATION
PROPERTY OWNER (if different from the applicant) ASSESSOR'S PARCEL NUMBER
_!f._4.fJ.k-e 11 s �1112.latL---,--�--=--�"''--=-'---s,TE ADDRESS /-CITY ZIP CODE I� �so Jv_(J_d/J�w�o��cl,��,..... �'---L...L.-1 DESCRIPTION OF PROPOSED ACTIVITY and STRUCTURES (use separate s et, if necessary)
ACKNOWLEDGEMENT
I certify that all of the information submitted is true and correct to the best of my knowledge. I have read and acknowledge the permit requirements as set forth below (page 2) and agree to comply with them. I further understand that should the structure be modified or if the use expands beyond the requirements of this permit, that I will notify the county to obtain any necessary approvals.
APPLICANT'S SIGNATURE
PROJECT NUMBER ZONE DISTRICT
ADrv0v_-_J}Q_((') )(_Q_ -)
ZONING ADMINISTRATOR APPROVAL
DATE
BUILDING PERMIT NUMBER
sj_CJ_. 4-03_ PW CLEARANCE
XYES D NO
DATE
(Permit Requirements -Reverse)
1 of2
June 15, 2020