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HomeMy WebLinkAboutApplication-PermitSIGN PERMIT Garfield County Building Department 2014 Blake Avenue Glenwood Springs, Colorado 81601 (303) 945-8241 '-`2 000098 OwnerlAgent; Location: • . ..orner • .:. ?u.. ._nu 3(.I intersection • Date Permit Begins: Total Sign Area: Amount of Permit: Date: PLEASE MAKE ALL CHECKS PAYABLE TO THE GARFIELD COUNTY TREASURER Clark: R. Belli tutt 1 in the event of injury or damage resulting from the collision with or the fall or collapse of such sign by or onto persons or property within the public way. SIGN PERMIT APPLICATION Garfield County Building Department 109 8th Street3rd Floor Glenwood Springs; Colorado 81601 kJVJJ l7J-4..6.14n Date: t� ®- G- 3 \ 1`\O Owner/Agent Name, Address, Phone: (� �t l l f� , --r1-1-77-01\-7-1`-3,-7- (` \ -• Af iKst•. \ rA Ir-,.. , A`C��l `-J l L.. V.+L i,..Z).r _f:),&, -(=.). 0 . 7( tel® CD U f2),�iT`t. Z r-1\7 r•.LT.S iQ , L c B 1 (-9,. - Sign Location: .S. E. _ C r--... r ---V2 1:=-- C . n.. - 3n ca e ,-b,— '"d \ V N %,-...,7,..c..._:\74:3 Contractor: -.J1 t''\ C0C-__, at=) -3> r ,----\-S Setbacks: ArPPr,®X , (jj c`r-.C) r -A -A .! y -A-_, t--1.-\--- Height : t C %...a 6.-1,--..„ 17:-:$��r , T i Pfac-. Sign Area: Illuminated: Yes ° Date Permit Will Begin: e� ��. 1 > \Q 10 This application shall be accompanied by sign plans and specifications, and may require engineered drawings. Owner or Agent Signature: Fee ($1.00 per square foot with a minimum of $25.00): kk A�� red PAZ t S . rA N 1:1`4� � V.<-7,---71 Ca NA C7 '\ - :1_ l C i<.> S � \ Q,� c)c, 1,6---\6k. 7; k k a T 2- c x Azzi 4 .. c . 64 . PO k"aJ" "PO , =� \ 6o -A i40 U. �-"� `` �....+a.� �? X tf k r^.� -^ x ea IN` -2>\1771- 6 Approved per terms herein stated this day of ot/I-.�%/4 , 19 4' aATTLEMLNTMESA MOP,PISANIA C c S-ra o -b-4 -1 am \4e --r 1I[1=1111 [�I( vII4[ 1 1I1.=I \ IIi1 II I� �.o GATtc►�•S tAQ. G•.3o� T�.i��►Ti ~.� ez.0` tis />/kaiNfsAso.04 thoi F'rsoS7a SwGNt"-k La C.4,7\7 +.JCC«,. { cas-cp.t.S FL, 7.1,c A0101 1111. PRODUCER CERTIFICATE OF INSURANCE Johnson & Higgins 125 Broad Street New York, New York 10004 CODE SUB -CODE INSURED Battlement Mesa Partners c/o Tne ADCO Group et al 645 Fifth Avenue New York, N.Y. 10022 Attn: Jack Penfield ISSUE DATE (MM/DD/YY) 11/5/90 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW COMPANIES AFFORDING COVERAGE COMPANY A NATIONAL UNION FIRE INSURANCE COMPANY COMPANY LETTER COMPANY G. LETTER COMPANY D LETTER COMPANY E LETTER COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 4SSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. GO LTR TYPE OF INSURANCE GENERAL LIABILITY A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X OCCUR. OWNER'S & CONTRACTOR'S PROT. AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY EXCESS LIABILITY OTHER THAN UMBRELLA FOAM WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY OTHER POLICY NUMBER GL5905059RA POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/DD/YY) DATE (MM/DD/YY) 3/1/90 3/1/91 ALL LIMITS IN THOUSANDS GENERAL AGGREGATE PRODUCTS-COMP/OPS AGGREGATE PERSONAL & ADVERTISING INJURY EACH OCCURRENCE FIRE DAMAGE (Any one lire) MEDICAL EXPENSE (Any cne person) COMBINED SINGLE E LIMIT BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE EACH OCCURRENCE $ $3,000 $1,000 $1,000 $1,000 $ 100 s 5 AGGREGATE STATUTORY (EACH ACCIDENT) (DISEASE—POLICY LIMIT) (DISEASE—EACH EMPLOYEE) DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIRESTRICTIONS!SPECIAL ITEMS Garfield County is included as an Additional Insured with respect to Sign Permit for Intersection County Road 300 & 301, said insurance coverage to indemnify the County from any liability incurred (see continuation at back page) CERTIFICATE HOLDER CANCELLATION Garfield County 109 Eighth. Street Glenwood Springs, CO 81601 Attn:, Mark Bean Dir. of Regulatory Offices _ACORI7.25-S (3/88) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 20 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ^. ,,ter 1?2,4 Cagb CQRFQ TJOI'J 1988 in the event of injury or damage resulting from the collision with or the fall or collapse of such sign by or onto persons or property within the public way.