HomeMy WebLinkAbout2. DET24-0004 DPL-01Biilte County Department of Development Services FORM NO
PLANNING DIVISION
DPL-017CountyCenterDrive,Orovillc,CA 95965
PlanningCcnU'r Phone 530.552.3701 l-'ax 530.53S.77X5
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Project #(Staff Use Only]PROJECT INFORMATION FORM
APPLICANT'S NAME;(If applicant is differentfrom owneran affidavit is required.)
Dusty Beck
ASSESSOR'S PARCEL NUMBER:
028-320-228
STREET,CITY,STATE,&ZIP CODE
North San Juan,CA 95960
TELEPHONE:ADDRESS:
PO Box 848 (530 )205 5590
E-MAIL:
escapegoat.db@gmail.com
FAX:
FISCAL CONTACT:(the party that will handle permit fees,invoices and other financial concerns for this application)
Dusty Beck
STREET,CITY,STATE,&ZIP CODEADDRESS:
PO Box 848 North San Juan,CA 95960
TELEPHONE:
E-MAIL:
escapegoat.db(ggmail.com
OWNER’S NAME:
same as above
TELEPHONE:
STREET,CITY,STATE,&ZIPCODE:ADDRESS:
PROPERTY INFORMATION
NAME OF PROPOSED PROJECT (if any)
Legal Lot Determination
SITE SIZE (in square feet or acres)
40 acres
LOCATION OF PROJECT (major cross streets and address,if any)
ZONE
AG-40
GENERAL PLAN EXISTING LAND USE
Vacant
PROPOSED LAND USE
ResidentalAG
EXISTING STRUCTURES (square feet)PROPOSED STRUCTURES (square feet)UNDER WILLIAMSON ACT CONTRACT□Yes
(Check One)□property is OR PROPOSED TO BE SEWEREDHPROPERTYISORPROPOSEDTOBEONSEPTIC
(Check One)□property (S or PROPOSED TO BE ON PUBLIC WATERHPROPERTYISORPROPOSEDTOBEONWELLWATER
APPLICATION TYPE (check ail that apply)
□Ml NOR VARIANCE
□VARIANCE
□CERTIFICATEOFMERGER
□ADMINISTRATIVEPERMIT
H LEGAL LOT DETERMINATION
□CONDITIONAL USE PERMIT
□CERTIFICATEOFCORRECTION
□REZONE
□GENERAL PLAN AMENDMENT
□MININGANDRECLAMATIONPLAN
□DEVELOPMENT AGREEMENT
□other
□TENTATIVESUBDIVISION MAP
□COMMUNICATIONSFACILITYUP/MUP □TENTATIVE PARCELMAP
□WAIVEROF PARCELMAP
□MINORUSEPERMIT
□LOT LINE ADJUSTMENT
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.)
Legal Lot Determination,Certificate of Compliance per EHWS24-0072
OWNER CERTIFICATION
1 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"November 21,2024 SIGNATURE:
Please contact Planning Division Staff with any questions.
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