HomeMy WebLinkAboutMER20-0007_Project_Info_Form•
Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965
530.5523701 Telephone
530.538-7785 Facsimile b?L-1
ASSESSOR'S PARCEL NUMBER: Ob4 - 5"10 - 005 & -004
TELEPHONE: ADDRESS: STREET, CTIY, STA TE, & ZIP CODE 529 To,d.a"' s+. l\'evu.. o.. C., Q�. 9�f>-.9 <53D> lo! -020 E-MAIL:
OWNER'S NAME:
NAME OF PROPOSED PROJECT (ifauy) of· ,
(Checlc One) QfROPERlY IS OR PROPOSED TO BE SEWERED OJ PROPERlY IS OR PROPOSED TO BE ON SEPTIC
D ADMINISTRATIVE PERMIT D LEGAL LOT DETERMINATION D coNDmONAL usE PERMIT D MINOR USE PERMIT 0 COMMUNICATIONS FACILITY UP/MUP
DVARJANCE D MINOR VARIANCE D LOT LYNE ADJUSTMENT
(B'cERTIACA TE OF MERGER
FAX:
( ) TELEPHONE: c 4o8> 9-11-&2s.9
PRO PO LAND l}SE �.·de"' • ' UNDER WlLUAMSON ACT CONTRACT 0Yes Ji1'fo
. D TENTATIVE SUBDIVISION MAP D TENTATIVE PARCB.. MAP D WAIVER OF PARCEL MAP 0 CERTIFICATE OF CORRECTION
0REZONE D GENERAL PLAN AMENDMENT 0 MINING AND REGLAMATION PLAN D DEVELOPMENT AGREEMENT D OTHER---==========-=-
I CERTIFY TIIAT I AM PRESENTLY TIIE LEGAL OWNER OR TIIE AlTlltORIZED AGENT OF THE OWNER OF 111£ ABOVE DESCRIBED PROPERTY. FURTHER. I ACKNOWLEDGE THE FILJNG OF THIS APPUCA TION AND CERTIFY THAT AU OF THE ABOVE INFORMATION IS TRUE AND ACCURATE. (Ifan agent is to be authorized, execute an affidavit of authorization and include the affidavit with this application.)
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