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HomeMy WebLinkAbout1.0 Application Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com LAND USE CHANGE PERMIT APPLICATION FORM TYPE OF APPLICATION  Administrative Review  Development in 100-Year Floodplain  Limited Impact Review  Development in 100-Year Floodplain Variance  Major Impact Review  Code Text Amendment  Amendments to an Approved LUCP LIR MIR SUP  Rezoning Zone District PUD PUD Amendment  Minor Temporary Housing Facility  Administrative Interpretation  Vacation of a County Road/Public ROW  Appeal of Administrative Interpretation  Location and Extent Review  Areas and Activities of State Interest  Comprehensive Plan Amendment Major Minor  Accommodation Pursuant to Fair Housing Act  Pipeline Development  Variance  Time Extension (also check type of original application) INVOLVED PARTIES Owner/Applicant Name: ________________________________________________ Phone: (______)_________________ Mailing Address: ______________________________________________________________________ City: _______________________________________ State: _______ Zip Code: ____________________ E-mail:_______________________________________________________________________________ Representative (Authorization Required) Name: ________________________________________________ Phone: (______)_________________ Mailing Address: ______________________________________________________________________ City: _______________________________________ State: _______ Zip Code: ____________________ E-mail:_______________________________________________________________________________ PROJECT NAME AND LOCATION Project Name: _____________________________________________________________________________________ Assessor’s Parcel Number: ___ ___ ___ ___ - ___ ___ ___ - ___ ___ - ___ ___ ___ Physical/Street Address: ________________________________________________________________ Legal Description: ______________________________________________________________________ _____________________________________________________________________________________ Zone District: ___________________________________ Property Size (acres): __________________ PROJECT DESCRIPTION Existing Use: __________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Proposed Use (From Use Table 3-403): _____________________________________________________ Description of Project: __________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ REQUEST FOR WAIVERS Submission Requirements  The Applicant requesting a Waiver of Submission Requirements per Section 4-202. List: Section: ______________________________ Section: _________________________________ Section: ______________________________ Section: _________________________________ Waiver of Standards  The Applicant is requesting a Waiver of Standards per Section 4-118. List: Section: ______________________________ Section: _________________________________ Section: ______________________________ Section: _________________________________ I have read the statements above and have provided the required attached information which is correct and accurate to the best of my knowledge. ______________________________________________________ __________________________ Signature of Property Owner Date OFFICIAL USE ONLY File Number: __ __ __ __ - __ __ __ __ Fee Paid: $_____________________________ RIFLE RULISON AND COUNTY ROAD 317 COL04170 7607 RIFLE RULISON RD. RIFLE, CO 81650 LTE 2C Development Services, LLC www.powderriverdev.com TITLE SHEET T-1 DIRECTIONS VICINITY MAP DO NOT SCALE DRAWINGS LOCAL MAP DRAWING INDEX SITE INFORMATION APPLICABLE CODES CONTACT INFORMATION LTE 2C SELF-SUPPORT TOWER ZONING DRAWINGS SITE NAME: RIFLE RULISON AND COUNTY ROAD 317 SITE NUMBER: COL04170 FA NUMBER: 10549678 PROJECT DESCRIPTION APPROVALS RF DATA SHEET RIFLE RULISON AND COUNTY ROAD 317 COL04170 7607 RIFLE RULISON RD. RIFLE, CO 81650 LTE 2C Development Services, LLC www.powderriverdev.com DISCLAIMER SITE PLAN SITE PLAN A-102'4'4'SCALE: 1/4" = 1'-0" (24x36) (OR) 1/8" = 1'-0" (11x17)1 RIFLE RULISON AND COUNTY ROAD 317 COL04170 7607 RIFLE RULISON RD. RIFLE, CO 81650 LTE 2C Development Services, LLC www.powderriverdev.com EQUIPMENT PLANS A-2 EQUIPMENT PLAN (EXISTING) EQUIPMENT PLAN (PROPOSED) 0 2'4'4'SCALE: 1/4" = 1'-0" (24x36) (OR) 1/8" = 1'-0" (11x17) 0 2'4'4'SCALE: 1/4" = 1'-0" (24x36) (OR) 1/8" = 1'-0" (11x17)2 1 RIFLE RULISON AND COUNTY ROAD 317 COL04170 7607 RIFLE RULISON RD. RIFLE, CO 81650 LTE 2C Development Services, LLC www.powderriverdev.com SOUTH ELEVATION (EXISTING)SOUTH ELEVATION (PROPOSED) TOWER ELEVATIONS A-30SCALE: 1" = 10' (24x36) (OR) 1" = 20' (11x17) 5'10'10'1 0 SCALE: 1" = 10' (24x36) (OR) 1" = 20' (11x17) 5'10'10'2 RIFLE RULISON AND COUNTY ROAD 317 COL04170 7607 RIFLE RULISON RD. RIFLE, CO 81650 LTE 2C Development Services, LLC www.powderriverdev.com ANTENNA PLAN (EXISTING) ANTENNA PLAN (PROPOSED) ANTENNA PLANS A-42 1 0 1.5'3'3'SCALE: 3/8" = 1'-0" (24x36) (OR) 3/16" = 1'-0" (11x17) 0 1.5'3'3'SCALE: 3/8" = 1'-0" (24x36) (OR) 3/16" = 1'-0" (11x17)