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Community Development DepartmentLori Moss, Director
DivisionsBuilding Permits & Inspection
Code EnforcementCounty Engineering
Planning and Environmental Review
May 21, 2023
IMPACT FEE ESTIMATE REQUEST FORM
PROJECT NAME:
SITE ADDRESS:ASSESSOR’S PARCEL NUMBER:ZONINING CODE:GRADING AREA ACREAGE: BLDG SQ. FT.SCOPE OF WORK:
NUMBER OF WATER METERS: WATER METER SIZES:IRRIGATION METER SIZE: POTABLE NON-POTABLE
POTABLE NON-POTABLEPOTABLE NON-POTABLE
CONTACT INFORMATIONPOINT OF CONTACT:
COMPANY NAME:PHONE NUMBER:
The following items are required for subdivision impact fee requests:1. Adobe pdf files of the subdivision map2. Adobe pdf file of Final Conditions of Approval3. Map closures. Closures must have boundary area for subdivision and for every single lot.
Mixed development projects shall identify boundary areas and acreage for each use (e.g. single-family, multifamily, condominiums, townhouses, apartments, etc.)
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827 7th Street, Suite 105 Sacramento, California 95814 phone (916) 874-6544 www.engineering.saccounty.net/sips
