HomeMy WebLinkAbout1.00 Division of Land Application FormGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-county.com
TYPE OF SUBDIVISION/EXEMPTION
DIVISIONS OF LAND
APPLICATION FORM
O Minor Subdivision
Major Subdivision
❑ Sketch 0 Preliminary ❑ Final
Conservation Subdivision
❑ Yield 0 Sketch 0 Preliminary 0 Fina
O Time Extension
❑ Preliminary Plan Amendment
Final Plat Amendment
❑ Common Interest Community Subdivision
0 Public/County Road Split Exemption
I ; 0 Rural Land Development Exemption
INVOLVED PARTIES A ; -.
Owner/Applicant IA
Name: 8:311-a,) Y STC\ IA-avr1�S Phone: (ci10 ) �lci -11'1
Mailing Address: b 12 te, LVn de ,•, C- c t e, -
City: C3 ( bos, A -. .e.. State: (O Zip Code: i C*13
E-mail: \' 4e) e To k, • W ill
Table 3-403):
Representative (Authorization Required)
Name: Phone: ( )
Mailing Address:
City: State: Zip Code:
E-mail:
`
lA•-c,st."f U..rC> lS .
PROJECT NAME AND LOCATION �� � x �j
Project Name:
Assessor's Parcel Number: 2- 3 9 3- Z 1 - 09 - 0( Z
Physical/Street Address: 2 3 3 "L `A 0t 3
Legal Description: LC).;V C -6ti.Ck \--1 , g1.Dc\I_ S ttn
tViC 1e(, \C , Ghck `h 4' L4 20 I \..>L 9 G?,Aeis Cit,vdt.i,
Zone District: S u- .1-i ? t Ir`-) 7-v, Property Size (acres): ,, A \ -A (./C,5
C& , '--4 73 o,C) S
i
Project Description
Existing Use: °vv -,rte• \occ-k-Cck t (-e;,Ls --- ,S4-,c..e\- c.
V l s- T l..,e &�`c 0 C..i: C re AA- V. V A. C 4,4+
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Proposed Use (From Use
Table 3-403):
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wn\,,% b•,r1t��
`-c! �-\- o. .rr <x'1�-TC�
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(..c..-1-0-,DescrriptionofProje/rct:
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40•- c \,t J,nvv�2.- C -c* -Lk_ �c, 1- t;�.-� %.c.-I-u..;--VlAoJzsL.
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Proposed Development Area
Land Use Type
# of Lots
# of Units I Acreage 1 Parking
Single Family
4 La
1 0 - \ c.�,t w a31
aa r
1
Duplex
Multi -Family
Commercial
Industrial
Open Space
i
Other
I
Total
REQUEST FOR WAIVERS
Submission Requirements
Ei The Applicant re• uesting a Waiver of Submission Requirements per Section 4-202. List:
Section: `sty re;t: Section:
Section: —774_131 s t 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
the best of my knowledge.
1
Sig e of Property 0 e
Date
OFFICIAL USE ONLY
File Number: _ _ _ _ - _ _ _ _ Fee Paid: $