HomeMy WebLinkAboutADM21-0118 CAMPING APPLICATION - APPROVEDButte County Department of Development Services FORM NO PERMIT CENTER
7 County Center Drive, Oroville, CA 95965
Planning Division Phone 530.552.3701 Fax 530.538.7785
Email dsplanning@bunecounty.net
PLA-01
CAMPING
ADMINISTRATIVE PERMIT (BCC 24-75 et seq.)
APPLICA:\T l:\FOIOU TIO:\ APPLICANT'S NAME PHONE NUMBF.R Tlz..�/ s+� \/..l.-)1 5__ c. (I lb) o1.,9r, -"5fe � o<_:;;;Dz:E;S lfcr� cs c) CIFcu r O?LJ:-� c7t-9;c::
E-MAIL -r�rf.lskva..r1 � C!.. om t!.�T-t1tJ....r-
PROPERTY OWNER (if different from the applicant)
_O �11.9= OoOA1(/_ 7? 11-s,TE ADDRESS CITY
I ASSESSOR'S l'ARCEL NUMBER
62..i;l-t:)330-00(;,-0/)�C) ZIP CODE
J ooZ. CM.a.-r Tru. t.tJ-;1a..... QrQJ/1//a_ __ t/bt;t,t, SIZE Of PROPERTY EXISTING LAND USE I TYPE OF PERMITTED WATER SYSTEM?
(5 19C r� S �a/YIP In tj B"wELL o SHARED wELL o SPRING o om ER __ _ PROPOSED POWER SOU RC� ::::J GERMfITED ON-SITE SEJ>TIC SYSTEM? e'PG&E D GENERATOR D SOLAR D BAi-1.ERY D OTHER IS!"'YES D NO ---DESCRIPTION OF PROPOSED ACTIVITIES, LENGTH OF STAY, TIME OF YEAR. VEHICLE TYPE (use separn1e
sh;)r;:;;,�_d_ro)O-s -fri. PL pra;o r_fr!_r � __ pr, nu,;_J/'f rn S =-= . vJz..y .t/;__<5 a.a-/.(J_ I...._?{):. 8 -¥ aa.y s -¥_ft)_!r J'7m./!..:!> f}Qf /fu:<r· /JW17C�arJ� /Y}(:_/u.p(fL l>?J'5/2./...C.
a/lcf.. t!..h,ld-,�n 6� ,r1q 1n µ_ll'::i. l fiJ; ::::;f2/-F C1.t,1f1L1/U.pl.)
J ecrlify that all of 1hc informaiion submiucd is iruc nnd eorreel to the bes! of my knowledge. I hnvc read nnd neknowlcdgc the pennit requirements ns sci forlh below (page 2) and agree 10 eomrly with !hem. I funhcr undersinnd thal should 1hc proposed improvements be modified or if the use expnnd, beyond the rcquircmenls of lhis pcrmi1, 1hal I will notify the euunly to obLain any ncccssury approvals.
APPLICATION REVIEWER
PROJECT NUMJJER
ADM _____ _
DATE
I ZONE DISTRICT j Ell CLEARANCE I l'UIJLIC WORKS CLEARANCE
DYES D NO D NIA DYES D O D NIABUILDING PERMIT REQUIRED'/ I BUILDING PERMIT NUMBER
D YES ONO D NIA B __ -___ _
ZONING ADMINISTRATOR APPROVAL I DATE
(Permit Requirements -Reverse) I of2
Austin Forde FR-5
21 0018
10/19/2021