HomeMy WebLinkAbout1.0 Minor (2 Lot) Exemption form FILLED INGARFIELD COUNTY
Building & Planning Department
108 8th Street, Suite 401
Glenwood Springs, Colorado 81601
Telephone: 970.945.8212 Facsimile: 970.384.3470
www.clarfield-county.com
❑ MINOR [2 LOT] EXEMPTION
❑ MAJOR [4 LOT] EXEMPTION
❑ FINAL EXEMPTION PLAT AMENDMENT
GENERAL INFORMATION (Please print legibly)
9 Name of Property Owner:
9 Mailing Address: Telephone: ( )
➢ City: State: Zip Code: Cell: ( )
9 E-mail address: FAX: ( )
9 Name of Owner's Representative, if any, (Attorney, Planner, Consultant, etcl:
9
> Mailing Address: Telephone: ( )
9 City: State: Zip Code: Cell: ( )
9 E-mail address: FAX: ( )
9 Street Address / General Location of Property:
> Assessor's Parcel Number: - -
9 Size of Property (in acres) as of January 1, 1973:
9 Current Size of Property to be Subdivided (in acres):
9 Number of Tracts / Lots Created Including remainder of Parent Property:
9 Proposed size of Tracts / Lots to be Created Including remainder of Parent Property:
o Lot #: containing acres
o Lot #: containing acres
o Lot #: containing acres
o Lot #: containing acres
o Lot #: containing acres
9 Property's Zone District:
Last Revised 12/12/08