HomeMy WebLinkAboutLLA22-0026 Application□
Butte County Department of Development Services FORM NO
7 County Center Drive, Oroville, CA 95965
Main Phone 530.552.3700 Planning Phone 530.552.3701 Fax 530.538.7785
Planning Entail;' f; ^ N J ^ '● A I
Project if (Staff Use Only)PROJECT INFORMATION FORM
ASSESSOR'S PARCEL NUMBER:040-030-401 and-110APPLICANT’S NAME: (If applicant is different from owner an affidavit is required.)
CommoQ Wealth Development Group
STREET, CITY, STATE, & EIPCODE TELEPHONE:ADDRESS:
632 Entler Avenue, Chico, CA 95928 ^30-570-2479
FAX:E-MAIL:
comcrk@mcn.org
FISCAL CONTACT: (the party that will handle permit fees, invoices and other financial concerns for this application)
CommoRjA/eaith Development Group
TELEPHONE:STREET. CITY, STATE, & ZIPCODE
632 Entler Avenue, Chico, CA 95928
ADDRESS:
(530-5^6-2531
E-MAIL:
jeremy@ccutilityinc.com
OWNER'S NAME:
James G. Miller and Gwendolyn M. Miller Co-Trustees of the Miller Family Trust
TELEPHONE:
(530-570-2473
STREET, CITY, STATE, & ZIPCODE:
200 Speedway Avenue, Chico, CA 95928
ADDRESS:
PROPERTY INFORMATION
NAME OF PROPOSED PROJECT (if any)SITE SIZE (in square feet or acres)4.47 Acres
LOCATION OF PROJECT (major cross streets and address, if any)
200 Speedway Avenue, Chico, CA 95928
GENERAL PLANVLDR EXISTING UNDUSEResidential PROPOSED LAND USEResidential2ZONEVLDR
EXISTING STRUCTURES (square feet)
3676 SF House, 1280 SF Barn
PROPOSED STRUCTURES ( square feet)None UNDER WILLIAMSON ACT CONTRACT□ Ves Uno
(Check One)
□ PROPERTY IS OR PROPOSED TO BE SEWERED
H PROPERTY IS OR PROPOSED TO BE ON SEPTIC
(Check One)
□ property is OR PROPOSED TO BE ON PUBLIC WATER
H PROPERTY 15 OR PROPOSED TO BE ON WELL WATER
APPLICATION TYPE (check all that apply)
□ MINOR VARIANCE
□ VARIANCE
□ CERTIFICATE OF MERGER
□ TENTATIVE SUBDIVISION MAP
□ TENTATIVE PARCEL MAP
□ WAIVER OF PARCEL MAP
□ CERTIFICATE OF CORRECTION
□ REZONE
□ GENERAL PLAN AMENDMENT
□ MINING AND RECLAMATION PLAN
□ DEVELOPMENT AGREEMENT
□other
□administrative PERMIT
LEGAL LOT DETERMINATION
CONDITIONAL USE PERMIT
MINOR USE PERMIT
COMMUNICATIONS FACILITY UP/MUP
LOT LINE ADJUSTMENT
□□□□
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.)
See attached plat.
OWNER CERTIFICATION
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 OFTHIS APPLICATION AND CERTIFY THAT ALL OF THE ABOy^ INFORMATION IS TRUE AND
ACCURATE. (If an agent is to be authorized, execute an affidavit of authorization and include thi is application.)idavit with
)Z 102^^2^ SIGNATURE:
Please contact Planning Di\/ision Staff with any questi
DATE:.
□
Butte County Department of Development Services FORM NO
DPL-017 County Center Drive, Oroville, CA 95965
Main Phone 530.552.3700 Planning Phone 530.552.3701 Fax 530.538.7785
Planning Email:
Project # (Staff Use Only)PROJECT INFORMATION FORM
APPLICANT'S NAME: (If applicant is different from owner an affidavit is required.)Common Wealth Development Group ASSESSOR'S PARCEL NUMBER:040-030-:! 09 z4_LiJ2ADDRESS:
632 Entler Avenue, Chico, CA 95928STREET, CITY. STATE, &ZIPCODE TELEPHONE:
^30- 5)66-2581E-MAIL:FAX:
)
FISCAL CONTACT: (the party that will handle permit fees. Invoices and other financial concerns for this application)
Common Wealth Development Group
STREET, CITY, STATE. & ZIPCODE
632 Entler Avenue, Chico, CA 95928
ADDRESS;TELEPHONE:
(530-5^6-2531
E-MAIL:
jeremy@ccutilityinc.com
OWNER'S NAME:
Common Wealth Development Group
TELEPHONE:
(530-5^6-25aiADDRESS:STREET, CITY, STATE, & ZIPCODE:
632 Entler Avenue, Chico, CA 95928
PROPERTY INFORMATION
NAME OF PROPOSED PROJECT (if any)SITE SIZE (in square feet or acres)4.54 Acres
LOCATION OF PROJECT (major cross streets and address, if any)
632 Entler Avenue, Chico, CA 95928
ZONE
(l)lndustrial |(LI)
GEN ERAL PLAN EXISTING LAND USE
Industrial PROPOSED LAND USE
Industrial/Residential
EXISTING STRUCTURES (square feet)
2-3,240 SF bldg
PROPOSED STRUCTURES ( square feet)None UNDER WILLIAMSON ACT CONTRACT□ ves Hno
(Check One)
□ PROPERTY IS OR PROPOSED TO BE SEWERED
H PROPERTY IS OR PROPOSED TO BE ON SEPTIC
(Check One)
□ PROPERTY IS OR PROPOSED TO BE ON PUBLIC WATER
H PROPERTY IS OR PROPOSED TO BE ON WELL WATER
APPLICATION TYPE (check all that apply)
□ MINOR VARIANCE
□ VARIANCE
□ CERTIFICATE OF MERGER
□ TENTATIVE SUBDIVISION MAP
□ COMMUNICATIONS FACILITY UP/MUP □ TENTATIVE PARCEL MAP
□ WAIVER OF PARCEL MAP
□ ADMINISTRATIVE PERMIT
□ LEGAL LOT DETERMINATION
□ CONDITIONAL USE PERMIT
□ MINOR USE PERMIT
□
H LOT LINE ADJUSTMENT
CERTIFICATE OF CORRECTION
□ REZONE
□ GENERAL PLAN AMENDMENT
□ MINING AND RECLAMATION PLAN
□ DEVELOPMENT AGREEMENT
□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.)
See attached plat
OWNER CERTIFICATION
! 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: j;
Please contact Planning ision Staff with any questions.
Bulte County Department of Development Services FORM NO
PLANNING DIVISION
7 County Center Drive. Oroville. CA 95965
Planning Center Phone 530.552.3701 Fax 530.538.7785
dsnlanninaf(7bulleeoiintv.net
DPL-02
Butte County
u LCAUFORNIA*
AGENT AUTHORIZATION
To Butte County, Department of Development Services:
i 1
Phone NumberPrint Name of Agent
Email AddressMailing Address
is hereby authorized to process this application on my/our property, identified as Butte County Assessors
Parcel Number(s)
This authorization allows representation for all applications, hearings, appeals, etc. and to sign all documents
necessary for said processing, including mitigation and conditions of approval, but not including documents(s)
relating to title interest.
Owner(s) of Record (sign and print name)
Cr-
Print Name Print Name
ignature Signature
Print NamePrint Name
SignatureSignature
Signature of ApeJicant (if other than owner)
§0.‘fmone Numbed
Print Name of Applicant (ifotherthan owner)
Print Name of California Civil Engineer/Land Surveyor
Email AddressMailing Address
Please contact Planning Division Staff with any questions.