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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.