HomeMy WebLinkAboutMISC24-0010 Project InfoButte Cow1ty Department of Development Services PLANNING DIVISION
7 County Center Drive, Oroville, CA 95965 Planning Center Phone 530.552.3 70 I Fax 530.538. 7785
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PROJECT INFORMATION FORM
FORM NO
DPL-01
APPLICANT'S NAME: {If applicant is different from owner an affidavit is required.) ASSESSOR'S PARCEL NUMBER:
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0 't.C - D� D - l \ 3TELEPHONE:
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FISCAL CONTACT: (the party that will handle permit fees, invoices and other financial concerns for this application} � 'Cl\ o---\€-S. �- � \ LLE..A._
ADDRESS: STREET, CITY, STATE, & ZIP CODE TELEPHONE:
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AD,DRESS: r-, _ r r--STREET, CITY, STATE, & ZIP CODE: 0\ �O\ ? 0. i..t.oo .S:r-vfc:.JUW�'t (\0\!'., CA,..\ \CO �. - , ...J Jr.,,,.,.U
PROPERTY INFORMATION NAME OF PROPOSED PROJECT (if any) SITE SIZE (in square feel or acres) A uu: -t \ ,"2'3 {,\C.� 0�'T Of'. 2,1. LOCATION OF PROJECT (major cross streets and address, if any} �(d.) .S\lf--��v-lo.'f AVE-/ Jv\\,�W'l\.---1 L\.\\C..,O, Citx. C)59·z_<;3
ZONE I GENERAL PLAN I EXISTING LAND USE PROPOSED LAND USE VLbR. $\N\t-U: 't'-<AM..\.\-'f �lt..J<..-\........c �-A11'V\1,L,'f EXISTING STRUCTURES (square feet) I PROPOSED STRUCTURES ( square feet) UNDER WILLIAMSON ACT CQ!:IT�CT 2�O<:) ·z_�o� -t--Dves �o
(Check One} (Check One) □PROPERTY IS OR PROPOSED TO BE SEWERED �OPERTY IS OR PROPOSED TO BE ON PUBLIC WATER (l}PRoPERTY IS OR PROPOSED TO BE ON SEPTIC O PROPERTY IS OR PROPOSED TO BE ON WELL WATER
0 ADMINISTRATIVE PERMIT0 LEGAL LOT DETERMINATION0 CONDITIONAL USE PERMIT0 MINOR USE PERMIT0 COMMUNICATIONS FACILITY UP/MUP0 LOT LINE ADJUSTMENT
APPLICATION TYPE (check all that apply) 0 MINOR VARIANCE O CERTIFICATE OF CORRECTION0 VARIANCE O REZONE0 CERTIFICATE OF MERGER O GENERAL PLAN AMENDMENT0 TENTATIVE SUBDIVISION MAP O MINING AND RECLAMATION PLAN
CB"TENTATIVE PARCEL MAP O DEVELOPMENT AGREEMENT0 WAIVER OF PARCEL MAP □OTHER
PROJECT DESCRIPTION
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FULL DESCRIPTION OF PROPOSED PROJECT (Attach necessary sheets. If this application is for a land division, describe the number and si7i:e of parcels.) � \U '� ,t..._, "7-� 'll!\U"\..@...�l� -r-6 \ AcR.E. + PARC....E:L�
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 ANO ACCURATE. (If an agent is to be authorized, execute an affidavit of au • ation and include the affidavit with this application.}
DATE:_v)_� '2_,...._(o_-_�_0_7'_<..I __
Please contact Plannin 1sion Staff with any questions.