HomeMy WebLinkAbout1.PROJ-25-0012 Project Info Form
Butte County Department of Development Services
PERMIT CENTER
7 County Center Drive, Oroville, CA 95965
Main Phone 530.552.3700 Planning Phone 530.552.3701 Fax 530.538.7785
Planning Email: DSPlanning@buttecounty.net
PROJECT INFORMATION FORM
Project # (Staff Use Only)
APPLICANT’S NAME: (If applicant is different from owner an affidavit is required.) ASSESSOR’S PARCEL NUMBER:
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ADDRESS:STREET, CITY, STATE, & ZIPCODE TELEPHONE:
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E-MAIL:FAX:
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FISCAL CONTACT: (the party that will handle permit fees, invoices and other financial concerns for this application)
ADDRESS: STREET, CITY, STATE, & ZIPCODE TELEPHONE:
()-
E-MAIL:
OWNER’S NAME: TELEPHONE:
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ADDRESS:STREET, CITY, STATE, & ZIPCODE:
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
TOWN SURVEYS INC
PO BOX 2493 PARADISE CA 95967 562 243 8255
SUPPORT@TOWNSURVEYS.COM
2958 Chico Ave. Chico, CA 95928 217 706 3418
Pacific Premier Trust Custodian FBO Robyn D. Wallerich IRA
Lot Line Adjustment for 2810 Chico Ave 5.27 Acres
A10 AG Residential + Agricultural Residential + Agricultural
1544 TBD
039 120 041 - 000
Macy Wilson / Yashin Manraj
m@xvt.co; y@xvt.co; dharvey@sacattorneys.com
6688 Latyson Ln Ne, Bainbridge Island, WA, 98110
2810 Chico Ave, Chico, CA 95928
SEE ATTACHED "RATIONALE FOR IMPROVED DESIGN"