HomeMy WebLinkAboutTPM21-0008_Project_Info_Form
Butte County Department of Development Services
PERMIT CENTER
7 County Center Drive, Oroville, CA 95965
Main Phone 530.552.3700 Planning Phone 530.552.3701 Fax 530.538.7785
Planning Email: DSPlanning@buttecounty.net
PROJECT INFORMATION FORM Project # (Staff Use Only)
APPLICANT’S NAME: (If applicant is different from owner an affidavit is required.) ASSESSOR’S PARCEL NUMBER:
- -
ADDRESS:STREET, CITY, STATE, & ZIP CODE TELEPHONE:
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E-MAIL:FAX:
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FISCAL CONTACT: (the party that will handle permit fees, invoices and other financial concerns for this application)
ADDRESS: STREET, CITY, STATE, & ZIP CODE TELEPHONE:
( ) -
E-MAIL:
OWNER’S NAME: TELEPHONE:
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ADDRESS: STREET, CITY, STATE, & ZIP CODE:
PROPERTY INFORMATION
NAME OF PROPOSED PROJECT (if any) SITE SIZE (in square feet or acres)
LOCATION OF PROJECT (major cross streets and address, if any)
ZONE GENERAL PLAN EXISTING LAND USE PROPOSED LAND USE
EXISTING STRUCTURES (square feet) PROPOSED STRUCTURES ( square feet) UNDER WILLIAMSON ACT CONTRACT
Yes No
(Check One)
PROPERTY IS OR PROPOSED TO BE SEWERED
PROPERTY IS OR PROPOSED TO BE ON SEPTIC
(Check One)
PROPERTY IS OR PROPOSED TO BE ON PUBLIC WATER
PROPERTY IS OR PROPOSED TO BE ON WELL WATER
APPLICATION TYPE (check all that apply)
ADMINISTRATIVE PERMIT
MINOR VARIANCE
CERTIFICATE OF CORRECTION
LEGAL LOT DETERMINATION
VARIANCE
REZONE
CONDITIONAL USE PERMIT
CERTIFICATE OF MERGER
GENERAL PLAN AMENDMENT
MINOR USE PERMIT
TENTATIVE SUBDIVISION MAP
MINING AND RECLAMATION PLAN
COMMUNICATIONS FACILITY UP/MUP
TENTATIVE PARCEL MAP
DEVELOPMENT AGREEMENT
LOT LINE ADJUSTMENT
WAIVER OF PARCEL MAP
OTHER __________________________
PROJECT DESCRIPTION
FULL DESCRIPTION OF PROPOSED PROJECT (Attach necessary sheets. If this application is for a land division, describe the number and size of parcels.)
I CERTIFY THAT I AM PRESENTLY THE LEGAL OWNER OR THE AUTHORIZED AGENT OF THE OWNER OF THE ABOVE DESCRIBED PROPERTY.
FURTHER, I ACKNOWLEDGE THE FILING OF THIS APPLICATION AND CERTIFY THAT ALL OF THE ABOVE INFORMATION IS TRUE AND
ACCURATE. (If an agent is to be authorized, execute an affidavit of authorization and include the affidavit with this application.)
DATE: SIGNATURE:
Please contact Planning Division Staff with any questions.
OWNER CERTIFICATION
FORM NO
DPL-01
David Woods
20 Red Fox Court, Chico Ca 95973 530 230 7825
davewoods123@hotmail.com N/A
Same as Applicant
Wood TPM 19.54 acres
VLDR VLDR Residence and open space Residence and open space
6,250 sf None
047 440 065
Same as Applicant
Garner Lane and Red Fox Court
Split the existing parcel into two parcels with no proposed development at this time
7/8/2021
TPM21-0008