HomeMy WebLinkAboutSTORM MISC22-0013 Application 7.7.22Butte Couut,t.D.epartment.of Development Services FORMNO PLANNING DIVISION
7 County Center Drive, Oroville, CA 95965 Planning Center Phone 530.552.3701 Fax 530.538. 7785 DPL-01
dsp Jann in g@but l ecoun ty .net
APPLICANT'S NAME: (If applicant is different from owner an affidavit is required.) 4;>7 .:;V2.,WI ADDRESS: STREET, CllY, STATE, & ZIP CODE • � (� NUG.� l?D &y�_\D\..e>-t E-MAIL:s. illlVW\� 1 � 0-@-{;.. �o <t c.c,-,/Vl
ASSESSOR'S PARCEL NUMBER:
TELEPHONE:1 \ q'tq I{ � (b'"3o ) &::..:.e.'1
FAX:
( FISCAL CONTACT: (the party that will handle permit fees, invoices and other financial concerns for this application)
� ADDRESS: STREET, CllY, STATE, & ZIP CODE
OWNER'S NAME:
ADDRESS: STREET, CllY, STATE, & ZIP CODE:
LOCATION OF PROJECT (major cross streets and address, l'D4-4 }.::t, ��.>;:;:: ZONE GENERAL PLAN EXISTING LAND USE
EXISTING STRUCTURES (square feet) PROPOSED STRUCTURES ( square feet)
TELEPHONE:
( )
TELEPHONE:
( )
PROPOSED LAND USE
UNDER WILLl.1¥:'lSON ACT CONTRACT�Yes DNo
(Check One) DPROPERlY IS OR PROPOSED TO BE SEWERED DPROPERlY IS OR PROPOSED TO BE ON SEPTIC
(Check One) 0 PROPERlY IS OR PROPOSED TO BE ON PUBLIC WATER 0 PROPERlY IS OR PROPOSED TO BE ON WELL WATER
ADMI NI STRATI VE PERMIT 0 LEGAL LOT DETERMINATION 0 CONDITIONALUSE PERMIT 0 MINOR USE PERMIT 0 COMMUNICATIONS FACILITY UP/MUP 0 LOT LINEADJUSTMENT
Ml NOR VARIANCE 0 VARIANCE 0 CERTIFICATE OFMERGER 0 TENTATIVE SUBDIVISION MAP 0 TENTATIVE PARCEL MAP 0 WAIVER OFPARCELMAP
0 REZONE 0 GENERAL PLAN AMENDMENT 0 MININGANDRECLAMATIONPLAN 0 DEVELOPMENT AGREEMENT Dornrn -----------
FULL DESCRIPTION OF PROPOSED PROJECT {Attach necessary sheets. If this application is for a land division, describe the number and size of parcels.) r.,s vc.. IJ'-.. i'-u.M..!::--c.r,o,r\J e.... for
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 INFOR ACCURATE. (If an agent is to be authorized, execute an affidavit of authorizati includf'tl�•#iolovji,'i�Ulil�
DATE:
Please contact Planning Division Staff with any questions.
022 210 107
1 21 acres
AG-80 AG Residential/Agricultural Same
Road Name Changerrnn