HomeMy WebLinkAboutLLA22-0023_1.Project_Info_Form□
Butte ervic FORM NO
DPL-01
Main Phon . 70 I Pax 5 0.538.7785
Planning Emai l: ----~ c;ount .ncl
PROJECT INFORMATION FORM
Project # (Staff Use Only)
APPLICANT'S NAME: (If applicant is different from owner an affidavit Is required.)
JAMES CRIDDLE
ASS SSOR'S PARCEL NUMBER:
009 -340::-1 50 & t51 ----
ADDRESS: STREET, CITY, STATE, & ZIP COD T L PHONE:
606 JUSTESON ROAD GRIDLEY CA 95948 ( 530 ) 990-1534 --------------------~ ---------E-MAIL: FAX:
olsonbsckn@aol.com
FISCAL CONTACT: (the party that will handle permit fees, invoices and other financial concerns for this application)
Same as Applicant Above
ADDRESS: STREET, CITY, STATE, & ZIP CODE J TELEPHONE :
( )
E-MAIL:
OWNER'S NAME: TELEPHONE:
Same as Applicant Above
ADDRESS: STREET, CITY, STATE, & ZIP CODE:
PROPERTY INFORMATION
NAME OF PROPOSED PROJECT (if any)
Criddle Lot Line Adjustment
LOCATION OF PROJECT (major cross streets and address, if any)
571 Macedo Road and 606 Justeson Road
ZONE I GENERAL PLAN
VLDR VLRD I
EXISTING LAND USE
RESIDENTIAL/ AG
SITE SIZE (in square feet or acres)
10.00 ACRES
PROPOSED LAND USE
RESIDENTIAL/ AG
EXISTING STRUCTURES (square feet)
10250 SQ.FT.
I ;ROPOSED STRUCTURES ( square feet) UNDER WILLIAMSON ACT CONTRACT
Dves fil No
(Check One)
0 PROPERTY IS OR PROPOSED TO BE SEWERED ~ PROPERTY IS OR PROPOSED TO BE ON SEPTIC
(Check One)
0 PROPERTY IS OR PROPOSED TO BE ON PUBLIC WATER
~PROPERTY IS OR PROPOSED TO BE ON WELL WATER
APPLICATION TYPE (check all that apply)
0 ADMINISTRATIVE PERMIT
0 LEGAL LOT DETERMINATION
0 CONDITIONAL USE PERMIT
0 MINOR USE PERMIT
0 MINOR VARIANCE □ CERTIFICATE OF CORRECTION
0 VARIANCE O REZONE
0 CERTIFICATE OF MERGER □ GENERAL PLAN AMENDMENT
0 TENTATIVE SUBDIVISION MAP O MINING AND RECLAMATION PLA
0 COMMUNICATIONS FACILITY UP/MUP
~ LOT LIN E ADJUSTMENT
□ TENTATIVE PARCEL MAP O DEVELOPMENT AGREEMENT
0 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 ize of reel .)
APN 009-340-150 = EXISTING: 5.76 AC., PROPOSED: 4.64 AC ., Proposed change of -1 .12 AC.
APN 009-340-151 = EXISTING: 4.24 AC ., PROPOSED: 5.36 AC ., Proposed change of +1.12 C.
OWNER CERTIFICATION
I CERTIFY THAT I AM PRESENTLY THE LEGAL OWNER OR TH AUTHORIZ DA NT OF TH OWN R 0
FURTHER, I ACKNOWLEDG TH FILING OF THIS APPL! ATION AND RTIFY THAT ALL O H ABOV
ACCURATE. (If an agent is to be authorized, ex ut an affidavit of
IGNATUR :
Please contact Planni taff with anv Que tion