HomeMy WebLinkAboutGR21-0020 TEMP HOUSING APPLICATION - APPROVEDButte County Department or Development Services PERMIT CENTER
7 County Center Drive, Oroville, CA 95965
M,1i11 Phone 530.552.3700 Fax 530.538. 7785
TEMPORARY HOUSlNG
FORM NO
PLA-32
(INSIDE OF THE NORTH COMPLEX PERIMETER) ADMJNJSTRATIVE PERMIT
Al'PI.ICANT'S NAME JckV\ .E@a.�J MAILING ADDiE�
APPLICANT INFORMATION
: PHONE NUMBER
...... 1 (530') q 1-_l---t'l> ... Lle ...STATE ZIP CODE .\ 559_f?c�J��stH
E-MAIL /d.VJ�
, CA Cf sci J,�----
PROPERTY OWNER (if different from the applicant) i ASSESSOR'S PARCEL NUMBER ------·------·---· 011-'-tDD-_,05_9-__ _SITE ADDRESS I CITY ' ZIP CODE d_{\_ fY\·, old/_e_M_�e.. _________ .tJ2_r?>v_, \Le. .. ltSiie& ... -s1zE OF PROPERTY EXISTIN�Li\ND USE I TYPE OF PERMITTED WATER SYSTEM? t!J ti i r-r:s.\ der'<\\�j 013 (l,<'..r� i::tt? _h Ve 61'\ \\J tsfw_ELL D �11/\RI:� WHL D SPRING D O�HER ---=-=-::-:: PROPOSED POWER SOURCE? PERMITfED ON-SITE SEPTIC SYSTEM'l
f\/PG&E D GENERATOR D SOL/\R O BATTERY D OTHER-----�YES D NO
-� •••• A DESCRIPTION OF PROPOSED ACTIVITIES. LENGTII OF STAY, TIME OF YE/\R. VEHICLE TYPE (use separate t�:·�r�c;+:u.s+ 1_f>r·,v�re. froo()gJ-\-�_, r �\ l\.h LOJnJL 1 v ·, � "")e.11 .. x_ r � · '" _fi{ _ _ \f\-0-\ ·
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APPLICANT'S ACKNOWLEDGEMENT
I certify that all of the information submitted is true and correct tn the best of my knowledge. I have read and acknowledge the permit requirements us set forth below (page 2) and agree to comrly 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 county to obtain any necessary approvals.
/\l'l'LICATION REVIEWER
l'RO.IECT NUMBER
1\ Dl'vl
DJ\TE
� \ \'$\7.D"2..\
ZONE DISTRICT Ell CU:i\Ri\NCE PUBLIC WORKS CLEARANCE
D YES D NO D N/J\ DYES D NO D N/J\
I3Ull.DING PERMIT RE()lJIREl1"
DYES D NO D N//\
IHIII.DING PERMIT NUMBER
13 ------------
ZONING ADMINISTRATOR APPROVAL Di\TE
(Permit Requirements -Reverse) I nf 2
Austin Forde FR-40
GR21 0020
10/4/2021