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Butte County Department of Development Services FOR,'1NO
PERMIT CENTER 7 County Center Drive, Oroville, CA 95965 Mam Phone 530.55'.!.3700 Fax 530.538.7785 PLA-30
TEl\IPORARY HOUSING (INSIDE OF THE C A�IP FIRE PERU\IETER) ADl\fiNISTRA TIVE PER"DT '----------------__________ ___,
.\PPUCA'.\'.T ll'ffORi\IATIOl'-
MATLJNO ADDRBSS f7fo
E MAIL
PROPERTY l�I•OR:\J.\ TION PROPERTY OW:SER (1£ different from the 1.pphcant) ASSESSOR S PARCEL :-UMBER ,a.� o 17 - / oo-o 2-5
414DRESC� :"°' ea wt �q CITY c !ti ; ( o :r;�t� B SJZE OF PROPliRTY BXISTl:-CO LA/ LSB TYPB OF PER.\UTTCD WATER SYSTEM? 2 +-0.(.,t"'f s btJ..t ,..R.. J ttl. f �VELL CJ SHARED Wl>LL CJ SPRL'IO CJ OTHER PROPOSED POWER SOURCE• V (). ti. W\ PERMITTED ON SITE SEPTIC SYSTEM" �G&E CJ GE"IERATOR CJ SOLAR CJ BATTERY CJ OTHER CJ YES CJ '10 DESCRJPTIQ); OF PROPOSED ACTIVITIES, LESOTH OF STAY TIME OF YEAR VEHICLE TYPE (use 1eparate sheet, ,f necessary) Te� Or-« , ko<A 7 , l(, 1 ', l'l<.ci\-or ho "'e, Y h Je+:�� d..��i'oh
APPLICANT'S ACK'.\'.OWLEDGE�IENT I ccrltf) that alt of the mforn111laon 1ubmittcd aa true and comet to the best of ID)' koowlcdj!e I ha,e read and ackno\\lCd�e the pPrnllt requartmrnh u •et forth. below (pag• 2) and ier�r to comply wath th.Ml I farther undemaod that �hould thP propoaed 1mpro\·emeota be modified or af the use eipaods beyond the requ1remea1s of this pemut, that l will no11fy the COUOIV to obl•lD all) Olleessuy Mppro\ils. APPLICA.,"T'S SIO's'A TURE
APPLICATION' REVlli\\'ER
PROJECT Nt..--i.mER ADM
ZONE DISTRICT E.H CLEARA.'ICE Pl.iBLIC WORKS CLEARAl'.CE 0 YES O NO O N A O YES O NO O N A BUILDING PER...'-'IIT REQUIRED? DYES ONO ON A Bti!LDINO PERMIT NUMBER B --
ZONING ADMLNlSTRATOR APPROVAL DATli
(Penrut Requirements -Reverse) 1 of2
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6/5/2020, 10:00 AM
MEM FR 20 X XX20 090220 0087