HomeMy WebLinkAbout1.LLA23-0014_Project Info FormButte County Department of Development Services
PLANNING DIVISION
7 County Center Drive, Oroville, CA 95965
Planning Center Phone 530.552.3701 Fax 530.538.7785
dsplanning@buttecounty.net
PROJECT INFORMATIONFORM Project # (Staff Use Only)
APPLICANT’S NAME: (If applicant is different from owner an affidavit is required.) ASSESSOR’S PARCEL NUMBER:
- -
ADDRESS: STREET, CITY, STATE, & ZIP CODE TELEPHONE:
( )-
E-MAIL: FAX:
( )-
FISCAL CONTACT: (the party that will handle permit fees, invoices and other financial concerns for this application)
ADDRESS: STREET, CITY, STATE, & ZIP CODE TELEPHONE:
( )-
E-MAIL:
OWNER’S NAME: TELEPHONE:
( )-
ADDRESS: STREET, CITY, STATE, & ZIP CODE:
PROPERTY INFORMATION
NAME OF PROPOSED PROJECT (if any) SITE SIZE (in square feet or acres)
LOCATION OF PROJECT (major cross streets and address, if any)
ZONE GENERAL PLAN EXISTING LAND USE PROPOSED LAND USE
EXISTING STRUCTURES (square feet) PROPOSED STRUCTURES ( square feet) UNDER WILLIAMSON ACT CONTRACT
Yes 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)
ADMINISTRATIVE PERMIT
MINOR VARIANCE
CERTIFICATE OF CORRECTION
LEGAL LOT DETERMINATION
VARIANCE
REZONE
CONDITIONAL USE PERMIT
CERTIFICATE OF MERGER
GENERAL PLAN AMENDMENT
MINOR USE PERMIT
TENTATIVE SUBDIVISION MAP
MINING AND RECLAMATION PLAN
COMMUNICATIONS FACILITY UP/MUP
TENTATIVE PARCEL MAP
DEVELOPMENT AGREEMENT
LOT LINE ADJUSTMENT
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 size of parcels.)
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 affidavit with this application.)
DATE: SIGNATURE:
Please contact Planning Division Staff with any questions.
OWNER CERTIFICATION
FORM NO
DPL-01
Emmett Jacobi
1281 Orchard Way, Chico CA 95928 530 519 6333
emmettjacobi@gmail.com N/A
P.O. Box 216, Durham CA 95938 530 513 4036
Same as Fiscal Contact
Yuhasz Lot Line Adjustment 2.724 acres
AG-20 AG Existing residence and open space Existing residence
1,606 sf N/A
040 170 024&025
9437 Lott Road, Durham CA
james.yuhasz@sbcglobal.net
James Yuhasz
Revise the common property line between the two parcels to put the existing shop building on the same
parcel as the residence.
DocuSign Envelope ID: B34AD02F-2C84-4DE4-BEEA-8809DAC4ADDE
11/9/2023 | 1:22 PM PST