HomeMy WebLinkAbout1.01 Application - Robert LawtonGarfield Co11nty
-.~t" . I , Community Deve opment Department
l ~ -108 8th Street, Suite 401
fE~ O 8 tU\\ Glenwood Springs, CO 81601
(970) 945-8212
Gf..;, \r L ww\i.t.garfield-countv.com . ' " ~\,,','!\
TYPE-OF SUBDIVISfON/ExEMPTION
0 Minor Subdivision
Major Subdivision
DIVISIQNS OF LAND
AP.PLICATION FORM
. ~ .
19 Prelimina ry Plan Amendment
Ill Final Plat Amendment
-
D Sketch 0 Preliminary 0 Final 'D Common Interest Commun i ty Subdivision
Conservation Subdivision D Public/County Road Split Exemption
D Yield 0 Sketch 0 Preliminary 0 Final D Rural land Development Exemption
D Time Extension
·iNVOL~'50 PARTl~S r .,,. --< . .. c;: I ~ .• ·, --" '~ . -' ~
Owner/Applicant
Name: lober:t La.w-fu U Phone: ( q10 ) q<#J -7 / 7'/-
MalllngAddress: VO &rf. 2..35'{
city: 6 lrowocd Spri't1.af State: C@ ZlpCode: f!J/{d)2
E-mail:
Representative (Authorization Required)
Name: Phone: ( )
Malling Address:
City: State: Zip Code :
E-mail:
PRQ,Eq NAME Al\10 LQCATION ,
-'
Project Name:
Assessor's Parcel Number: ~_J_j_g_ -6_1!±_-_Q.9_-Q_I 'l_
Physical/Street Address: Df:iQ I 0'\el [9m Rd fh .
Legal De~: Lo+ l] eil o c_k_ q e:;, -\-c.n'l ( b s '\)\.S l ~(\
Zone District: Ras\ j_eA-4\oJ ll('o4n Property Size (aaes): .. L.}J<f
I
Project Description . l L J
Existing Use: i < Pc....l c:\. ~*1 ii' I
Proposed Use (from Use Table 3-403): -;:;_ YVJ.~
DescrlptlonofProject: odj,ll-5'1= 5~l~ ~~~,;re_.
Pro·s:>osed DevelOpment Are" <
land Use Type #of Lots #of Units Acreage Parking
Single Family .
Duplex
Multi-Family
Commercial
Industrial
Open Space -
Other
Total
REQV~.~ FQR .W~IVERS --~· -, .! ~ -~ ' "'/. • •'· -. ~. , '•
Submission Requirements
D The Applicant requesting a Waiver of Submission Requirements per Section 4-202. List:
Section: Section:
Section: Section:
Waiver of Standards
LI The Applicant is requesting a Waiver of Standards per Section 4-118. List:
Section: Section:
Section: Section:
l have read the statements above and have provided the required attached Information which ls
correct and accurate to the bf st of my knowledge.
!?t&:~~ JO Seef. ;zoJS
Signature of Property Owner Date
OFFICIAL USE ONLY
FileNumber:ff~ -i~}.O Fee Paid: s_l ..... D_b_. __ IW _____ _
a§ Garfield Count)'
PAYMENT AGREEMENT FORM
GARFIELD COUNlY ("COUNlY") and Property Owner ("APPLICANT") Izo bed la.w:fort_
___________________________ agree as follows:
l .
2. The Applicant understands and agrees that Garfield County Resolution No. 2014-60, as
amended, establishes a fee schedule for each type application, and the guidelines for the
administration of the fee structure.
3. The Applicant and the County asree that because of the size, nature or scope of the
proposed project, It is not possible at this time to ascertain the full extent of the costs
Involved In processlns the application. The Applicant agrees to make payment of the Base
Fee, established for the Project, and to thereafter permit additional costs to be billed to the
Applicant . The Applicant agrees to make additional payments upon notification by the
County, when they are necessary, as costs are Incurred.
4. The Base Fee shall be in addition to and exclusive of any cost for publication or cost of
consulting service determined necessary by the Board of County Commissioners for the
consideration of an application or additional County staff time or expense not covered by
the Base Fee. If actual recorded costs exceed the Initial Base Fee, the Applicant shall pay
additional billings to the County to reimburse the County for the processing of the Project.
The Applicant acknowledges that all billing shall be paid prior to the final consideration by-
the County of any land Use Change or Division of land.
I hereby asree to pay all fees related to this applkatfon:
Billing Contact Person: ~b~ ~ Phone:~ 't(/.S:-717</=
Bllllng Contact Address : YD ~ :235 f
City: e l ~U)COc:\. Sp C-\ ~? State: (22:> Zip Code: g 'f.e?)
Biiiing Contact Email: _________________________ _
Printed Name of Person Authorized to Sign: __ Ko .... \ __ b_Q..r __ 1: __ lo._ __ l.>->_~ _________ _
~A Je>~I' r. :Z,/s
(Signature) (Date)