HomeMy WebLinkAbout1.03 Division-of-land-application-form-10-21-15_c Garfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-county.com
DIVISIONS OF LAND
APPLICATION FORM
TYPE OF SUBDIVISION/EXEMPTION
Owner/Applicant
Name:
• Minor Subdivision
)
Mailing Address:
•
Preliminary Plan Amendment
Major Subdivision
State: Zip Code:
•
Final Plat Amendment
• Sketch ■ Preliminary ■ Final
•
Common Interest Community Subdivision
Conservation Subdivision
Mailing Address:
•
Public/County Road Split Exemption
State: Zip Code:
• Yield ■ Sketch ■ Preliminary
■
Final
•
Rural Land Development Exemption
• Time Extension
PROJECT NAME AND LOCATION
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
Description of Project:
Table 3-403): Rural
Move the Elderkin northerly boundary line away from the existing corral and
fence line to an agreed-upon line, adding approximately 3/4 of an acre to Elderkin property.
Proposed Development Area
Land Use Type
# of Lots
# of Units
Acreage
Parking
Single Family
Duplex
Multi -Family
Commercial
Industrial
Open Space
Other
Total
REQUEST FOR WAIVERS
Submission Requirements
fl 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.
October 21, 2015
Signature of Property Owner Date
OFFICIAL USE ONLY
File Number: ____-----
Fee Paid: $