HomeMy WebLinkAboutMER24-0007 Project InfoButte County Department of Development Services FORM NO
PLANNING DIVISION
DPL-017CountyCenterDrive,Oroville,CA 95965
PianningCcnler Phone 530.552.3701 Fax 530.538.7785
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C A I I F O R N I A
Project #{Staff Use Only)PROJECT INFORMATION FORM
ASSESSOR'S PARCEL NUMBER:APPLICAI^rs NAME:(If appMcantis different^?m owner an affidavit is required.)
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TELEPHONE:STREET,CITY,STATE,&ZIP CODE
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ADDRESS:
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E-MAIL:FAX:\vxcVmc\ccM (^j 11 \ie -Cc'^i'Vx
.rCONTACTHthe party that will handle permittees,invoices and other financial concerns for this application)
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TELEPHONE:STREET,CITY,STATE,&ZIP CODEADDRESS:
E-MAIL:
TELEPHONE:OWNER'S NAME:
STREET,CITY,STATE,&ZIPCODE:ADDRESS:
PROPERTY INFORMATION
SITE SIZE (in square feet or acres)
2-V 0 ●3"^
NAME OF PROPOSED PROJECT (if any)
LOCATION OF PROJECT (majorcross streetsand address,ifany)
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PROPOSED LAND .USEGENERALPLANEXISTINGLANDUSE..i>e A-1ZONE
EXISTING STRUCTURES (square feet)iZfeA PROPOSED STRUCTURES (squarefeet)UNDER WILLIAMSON ACT CONTRACTCHYes0^0
(Check One)
ROPERTY IS OR PROPOSED TO BE ON PUBLIC WATER□property is or PROPOSED TO BE ON WELL WATER
(Check One)□PROPERTY IS OR PROPOSED TO BE SEWERED^PROPERTY IS OR PROPOSED TO BE ON SEPTIC
APPLICATION TYPE {check all that apply)
□MINORVARIANCE
□VARIANCE
ZERTIFICATEOF MERGER
□CERTIFICATEOFCORRECTION
□REZONE
□GENERAL PLAN AMENDMENT
□MININGANDRECLAMATIONPLAN
□DEVELOPMENT AGREEMENT
□other
□ADMINISTRATIVEPERMIT
□LEGAL LOT DETERMINATION
□CONDITIONALUSEPERMIT
□MINORUSEPERMIT
□COMMUNICATIONSFACILITYUP/MUP □TENTATIVE PARCELMAP
□WAIVER OF PARCEL MAP
□TENTATIVE SUBDIVISION MAP
□LOTLINEADJUSTMENT
PROJECT DESCRIPTION
FULL DESCRIPTION OF PROPOSED PROJECT (Attach necessary sheets.Ifthis application isfora land division,describe the number and size of parcels.)Urrt?ZCfS^ZO<^oi SI-CocV
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OWNER CERTIFICATION
I certify THAT I AM PRESENTLY THE LEGAL OWNER OR THE AUTHORIZED AGENT OF THE OWNER OF THE ABOVE DESCRIBED PROPERTY.
FURTHER,!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 indude the affidavit with this application.)
y^rDATESIGNATURE:
Please contact Planning Division Staff with any questions.