HomeMy WebLinkAbout1.MER24-0004 Project Info FormButte 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 dsplanningialbuttecmmtv .net
PROJECT INFORMATION FORM
DPL-01
Project # (Staff Use Only)
•different from owner an affidavit is required.)ASSESSOR'S PARCEL NUMBER:
Vl
TELEPHONE: c.A-'tS'-] (�?0)'873-�o3
. ADDRESS: , f\Rf�· C�1Y, STATE, & ZIP CODE:C ,1 "' C -7 <£p, C> f 1o O � l � °t >-t'I ru,u:.,. C-� L ·l't 1 .J q l ,, ..I PRCJ1'tRTY INFORMATION
NAME OF PROPOSED PROJECT (if any) Lo�(,v'le· �
EXISTING STRUCTURES (square feet)
SITE SIZE (in square feet or acres) •?� �.._c.,.r-e_
A .-i �-1. � r+� r !reef 4 � d �/ecfe .f +re-e,,f
PROPOSED LAND USE Ci-lruvc,.t,_
PROPOJEji> STRUCTURES ( square feet) UNDER WILLIAMSON ACT CONTRACT N, Dves �No
(Check One) □ PROPER1Y IS OR PROPOSED TO BE SEWERED
�PROPER1Y IS OR PROPOSED TO BE ON SEPTIC
. (Check One) �PROPER1Y IS OR PROPOSED TO BE ON PUBLIC WATER □ PROPER1Y IS OR PROPOSED TO BE ON WELL WATER
0 ADMINISTRATIVE PERMIT 0 LEGAL LOT DETERMINATION 0 CONDITIONAL USE PERMIT 0 Ml NOR USE PERMIT 0 COMMUNICATIONS FACILITY UP/MUP 0 LOTLJNE ADJUSTMENT
APPLICATION TYPE (check all that apply) 0 MINOR VARIANCE O CERTIFICATE OFCORRECTION □VARIANCE O REZONE [ii CERTIFICATE OF MERGER O GENERAL PLAN AMENDMENT0 TENTATIVE SUBDIVISION MAP O Ml NI NG AND RECLAMATION PLAN 0 TENTATIVE PARCEL MAP O DEVELOPMENT AGREEMENT0 WAIVEROFPARCEL 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 pa reels.) M..e,.,-'j ev-of l cf-> ,4--d-c\ ve>� I 7 l 3/ fa�'""'-�i""-7""1-ci 5tv-ee+ e1.IA.d I ·713s-M"'-v1���Sfv�-1--
l "l �f,--Y\ fnQ l,..r't1j •
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
:A�E3:� ���v'.ithoc;red, "''"re,'.::::::,�' ·uk· �:DC§'")
Please contact Planning Division Staff with any questions.
& -001