HomeMy WebLinkAboutLLA23-0006 Proj. Info□
Butte County Department of Development Sei*vices FORM NO
PERMIT CENTER DPL-017 County Center Drive. Oroville. CA 95965
Main Phone 530.552.3700 Planning Phone 530.552.3701 Fax 530.538.7785
Planniim Email; DLSPIannimira'buttecoiintv.nciI
Project # (Staff Use Only)PROJECT INFORMATION FORM
ASSESSOR'S PARCEL NUMBER:
042-050-081 & 082APPLICANT'S NAME: (If applicant is different from owner an affidavit is required.)Sam Borders
STREET, CITY, STATE, & ZIPCODE TELEPHONE:ADDRESS:
1144 W. East Avenue ( 530 ) 893 - 3474
FAX:E-MAIL:
sam@accsat.com
FISCAL CONTACT: (the party that will handle permit fees, invoices and other financial concerns for this application)
Same as applicant
TELEPHONE:ADDRESS:STREET, CITY, STATE, & ZIPCODE
E-MAIL:
OWNER'S NAME:
See attached list
TELEPHONE:
ADDRESS:STREET, CITY, STATE, & ZIPCODE:
PROPERTY INFORMATION
NAME OF PROPOSED PROJECT (if any)
Lot Line Adjustment
SITE SIZE (in square feet or acres)0.903 acres
LOCATION OF PROJECT (major cross streets and address, if any)
2531 Nord Avenue & 1144 W. East Avenue
ZONE
VLDR-GC
EXISTING LAND USE
VLDR / RETAIL OFFICE Single Family Residential / Commerciai
GENERAL PLAN PROPOSED LAND USE
Single Family Residentaii / Commercial
EXISTING STRUCTURES (square feet)3593.08 sf +/-PROPOSED STRUCTURES ( square feet)N/A
UNDER WILLIAMSON ACT CONTRACT□ Yes Dno
(Check One)□ property is or proposed to BE SEWERED
Hproperty is or proposed to be on septic
(Check One)
H PROPERTY IS OR PROPOSED TO BE ON PUBLIC WATER
□ PROPERTY IS 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.)
To transfer land from APN 042-050-082 to APN 042-050-081
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 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 affi;jt with this application.)
DATE:SIGNATURE:
.X r>n\