HomeMy WebLinkAboutADM20-0126 ApplicationApprovalButte County Department of Development Services FORMNO PERMIT CENTER
7 County Center Drive, Oroville, CA 95965 Main Phone 530.552.3700 Fax 530.538.7785 PLA-30
TEMPORARY HOUSING (INSIDE OF THE CAMP FIRE PERIMETER) ADMINISTRATIVE PERMIT
APPLICANT INFORMATION
PROPERTY INFORMATION TYPE OF PERMITTED WATER SYSTEM? ✓�LL □ SHARED WELL □ SPRING □ OTHER DeJ:r12.o � PROPOrD �WER SOURCE?efpG�E ciGENERATOR □SOLAR □ BATTERY □ OTHER PER¥IfTED ON-STIE SEPTIC SYSTEM? l�ES □NO DESCRIPTION OF PROPOSED ACTIVITIES, LENGTH OF STAY, TIME OF YEAR, VEHICLE TYPE (use separate sheet, if necessary)-��- l,q( Q Jo 'J3 fcu; ;n °'---
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APPLICANT'S 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 proposed improvements be modified or if the use expands beyond the requirements of this permit, that I will notify the �,,111&11nas�� APPLICATION REVIEWER ZONE DISTRICT EH CLEARANCE I PUBLIC WORKS CLEARANCE□YES □NO □NIA i DYES □NO □NIAPROJECT NUMBER BUILDING PERMIT REQUIRED? BUILDING PERMIT NUMBER ADM -□YES □ NO □NIA B -
ZONING ADMINISTRATOR APPROVAL DATE (Permit Requirements -Reverse) 1 of2 TRL RR-5 X20 0126 XX1.27.2021