HomeMy WebLinkAboutADM21-0024 Application_ApprovedButte County Department of Development Services PERMIT CENTER 7 County Center Drive, Oroville, CA 95965Main Phone 530.552.3700 fax 530.538.7785
FORM NO
PLA-32
.__-----""MJTTE �----------------------------------�COUNTY TEMPORARY HOUSING
(INSIDE OF THE NORTH COMPLEX PERIMETER)
ADMINISTRATIVE PERMIT
APPLICANT'S NAME PHONE NUMBER
5.JD fflJ ?! b B
STATE ZIP CODE
.-PRO.PERTY INFORMATION PROPERTY OWNER (if different from the appiicant) ASSESSOR'S PARCEL NUMBER a 71·' Jto -�oD-3
ZIP CODE SITE AD RESS CITY
,{!a���wi{;:,T{fLAND us, I TYPE OF p��::�:TER SYSTEM?
� ..5, '{A f;J+/,.c'(( /?e.f,'�efwELL D SHARED WELL D SPRING D OTHER
PROPOSED POWER SOURCE? PERMITrED ON-SITE SEPTIC SYSTEM?
�ESD NO IZJl>G&E D GENERATOR D SOLAR D 13ATTERY D OTHER ___ _ _ __J _____________ _ DESCRIPTION OF PROPOSED ACTIVITIES. LENGTH OF STAY, TIME OF YEAR. VEHICLE TYPE (use separate she..:l, if necessary) , /_ -� L/6fotLhDM e_ /:&/!'Riff_ [dM-)/E�8At6/ISS'A /J11/L As Lo.cf,;, ,45 /:,L /,1h==5 -lo /ebt//1 P )
APPLICANT'S ACKNOWLEDGEMENT .-
I certify that all of the information submiffed is true and correct to t e .best of my kno,vledge. l have read and acknowledge the permit requirements as se� forth below (page ang ilgree to cofoply with them. ·l further understand that should fhe pronoscd improvements be modified Of if the us ';pa11as beyond the requirements of this pcrmit,that I will notify the county to obtain any necessary approvals.
DATE
3-30-2(
·STAFF USE ONLY
APPLICATION REVIEWER ZONE DISTRICT I EH CLEARANCE I PUBLIC WORKS CLEARANCE
0 YES D NO D NIA O YES ONO ON/A
PROJECT NUMBER
ADM ______ _
BUILDING PERMIT REQUIRED?
DYES ONO D NIA
ZONING ADMINISTRATOR APPROVAL
(Permit Requirements -Reverse)
BUILDING PERMIT NUMBER
B
DATE
1 of2
TEW x xFR-5
21-0024
April 13, 2021