HomeMy WebLinkAboutMER23-0007.1_Project Info FormButte County Department of Development Services FORM NO
DPL-017 County Center Drive, Oroville, CA 95965
PianningCcnterPhone530.552.3701 Fax 530.538.7785
dsDlanninu@buttccountv,nct
Project ft (Staff Use Only)
PROJECT INFORMATION FORM
ASSESSOR'S PARCEL NUMBER:
062-170-038
APPLICANTS NAME: (if applicant is different from owner an affidavit is required.)
Lori and Sean Pierce
TELEPHONE:STREET, CITY, STATE, & ZIP CODE
14 Path in the Wooids Berry Creek, California
ADDRESS:
E-MAIL;
sean(@mtlwks.com
FAX:
FISCAL CONTACT: (the party that will handle permit fees, invoices and other financial concerns for this application)
Lori an(d Sean Pierce
STREET, CITY, STATE, & ZIP CODE
252 Lakeside Way Berry Creek, California
ADDRESS:TELEPHONE:
E-MAIL:
sean(gmtlwks.com
TELEPHONE:OWNER'S NAME:
Lori and Sean Pierce
STREET, CITY, STATE, &ZIPCODE:
252 Lakeside Way Berry Creek, California
ADDRESS:
PROPERTY INFORMATION
SITE SIZE (in square feet or acres)
0.32 acres
NAME OF PROPOSED PROJECT (if any)
Lori and Sean Pierce
LOCATION OF PROJECT (majorcross streetsand address, ifany)
14 Path in the Woods Berry Creek, California
GENERAL PLAN
yVi
EXISTING LAND USE
Residential
PROPOSED LAND USE
Residential
70NEDiL
EXISTING STRUCTURES (squarefeet)
None
PROPOSED STRUCTURES (square feet)UNDER WILLIAMSON ACT CONTRACT□ ves ■ no
(Check One)
□ property IS OR PROPOSED TO BE SEWERED
■ property is or PROPOSED TO BE ON SEPTIC
(Check One)
■ property IS OR PROPOSED TO BE ON PUBLIC WATER
□ property IS OR PROPOSED TO BE ON WELL WATER
APPLICATION TYPE (check all that apply)
□ MINORVARIANCE
□ VARIANCE
B CERTIFICATEOFMERGER
□ TENTATIVESUBDI VISION MAP
□□ ADMINISTRATIVEPERMIT
□ LEGAL LOT DETERMINATION
□ CONDITIONALUSEPERMIT
□ MINORUSEPERMIT
□ COMMUNICATIONSFACILITYUP/MUP □ TENTATIVE PARCEL MAP
□ WAIVEROFPARCELMAP□ LOT LINE ADJUSTMENT
CERTIFICATEOFCORRECTION
□ REZONE
□ GENERAL PLAN AMENDMENT
□ MININGANDRECLAMATIONPLAN
□ 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.)
Purpose of this Certificate of Merger is to Merger Apn 062-170-038 into (1) Parcel, currently is (2) Lots
consisting of Lot 37 and Lot 38 of the Feather River Forest Home Subdivison Book 12 of Maps at cage21
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 includethe affidavit with this application.)
7SIGNATURE: \DATE:“
Please contact Planning Division Staff with any questions.