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HomeMy WebLinkAboutApplication- PermitNo. 6898 GARFIELD COUNTY BUILDING, SANITATION, and PLANNING DEPARTMENT 109 8th, Street, Suite 303 Glenwood Springs, CO 81601(970) 945-8212 Job Address 0 7/ ( et), AC (") •' Q-it,UZ t C A 1 L0 f Nature of Work BQ.ilding Permit Use of Building Owner Jai Contractor ( 4 *-- L& % Amount of Permit$ �QQ�.rri�L� to --6-4L 3Y Date Clerk GARFIELD COUNTY BUILDING PERMIT APPLICATION GARFIELD COUNTY (GLENWOOD SPRINGS), COLORADO TELEPHONE: (970) 945-8212 Applicant to complete numbered spaces only. INSPECTION LINE: (970) 945-9159 PERMIT NO. PARCEL/SCHEDULE NO. YOB ADDRESS: 0716 COCIAri77.1 /& //a7 6COS Z Cu e`6.2 I LOT NO. BLOCK NO. SUBDIVISION/EXEMPTION 2 OWNER. hitheAr 4 _iiiii.eq reide rr ADDRFb7/6 GTr' 26 //a 6c4,5 $.95-.6yli'4 - 9 Zz-/ 3 emm'Acr7 fJNo fAlre 5T' 6'7, 57- ---go,_ _ 6 /� 4(So_c. i uc. N 0/52 4 ¢HIT // ADDRESS // PTI: /! LTC NO; 5 ix' SQ. FI'. 6FBEti.DING .ANIS? ADI +i�-,-1 ,Z5665F /06,55FBQ.xt.°FLGr /� ,4c �S }MOW% ZZ NO. OFFt.00Re 6 ILSE OE BUILDING .. r- g E-5 7 OE cRIRF`"°RI`' keillovE 400F(/ a es17. 6 6,fQACe 77, AO 16P -A 1340.../ "671"/G5'esiV 8 CLASS DF WORK ONEW ¢MDIr1UN .ALTERATION ¢NovH URENOVE [l ^ GARAGE oSING E.. =DOUBLE CARPORT. ¢BINDLE oDWBIE 170 ¢ DRIVEWAY MEET--- arm SEWAGE DISPOSAL (SEPTIC) OSm ALAN �1rr5T�'Co VAWATIONOFWORK $ .D 00 ° AWES= VALUATION:$ SPECIAL CONDITIONS: NOTICE A SEPARATE ELECTRICAL PERMIT IS REQUIRED AND MUST BE ISSUED BY THE STATE OF COLORADO. THIS PFRMrEBECOMESNUTLLAND VOID IFWORK ,ORCONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN IBO DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED ORABANDONED FORA PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFYTHAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW 11IE SAME TO BE TRUE AND CORRECT, ALL PROVISIONS OF LAWS GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE, OR CANCEL THE. PROVISIONS OF ANY OTHER STATE OR LOCAL REGUL TING CONSTRUCTION OR THE PERFORMANCE OF CONS ON. Date gr- rEr— PLAN CHECK FEE: 53 3 - 5g^ PERMIT FEE: F` /!I L</ DATE PERMIT ISSUED: TOTAL FEE: C - / t�} 7 3r OCC: GROUP: CONST: TYPE: ZONING: SETBACKS: iylatUTe of r, Contractor or authorized agent read Dad tinders[. , •/ lice above, i I i lar./ [ _ �� - w' MANU. HOME: [SDS NO. & FIE • wilding 0 716 Approval/Date •Dept abD e AGREEMENT PERMISSION IS HEREBY GRANTED TO THE APPLICANT AS OWNER, CONTRACTOR AND/OR THE AGENT OF THE CONTRACTOR OR OWNER TO CONSTRUCT TEE STRUCTURE AS DETAILED ON PLANS AND SPEC.IFICATKJNS SUBMITTED TO AND REVIEWED BY THE BLIDINGDEPARTM N'T. Eti CONSIDERATION OF THE ISSUANCE OF THIS PERMIT, THE SIGNER HEREBY AGREES TO COMPLY RTTT3 ALL BUILDING CODES AND LAND USE REGULATIONS ADOPTED BY GARFIELD COUNTY PURSUANT TO AUTHORITY GIVEN IN 30.28.201 CRS AS AMENDED. THE SIGNER FURTHER AGREES THAT IF THE ABOVE SAID ORDINANCES ARE NOT FULLY COMPLIED WITH DI THE. LOCATION, ERECTION, CONSTRUCTION AND USE OF THE ABOVE DESCRIBED STRUCTURE TTIE'. PERMIT MAY THEN BE REVOKED BY NOTICE PROM TRE COUNTY AND THAT THEN AND THERE TI SHALL BECOME NULL AND VOID. T1IE ISSUANCE OF A PERMIT BASED UPON .PLANS, SPECIFICATIONS AND OTHER DATA SHALL NOT PREVENT THE BUILDING OFFICIAL FROM ,.HERE AFTER REQUIRING THE CORRECTION OE ERRORS 1N SAID FLANS, SPECIFIC..ITIONS AND OTHER DATA OR FRO PREVENTING BT ILI)ING OPERATION BEING CARRIED ON THEREUNDER WHEN IN VIOLATION OF THIS CODE OR ANY OTHER ORDINANCE OR REGULATION OF THIS 'JURISDICTION. .THE REVIEW OF THE SUBMITTED PLANS AND SPECIFICATIONS AND INSPECTIONS CONDUCTED THEREAFTER DOES NOT CONSTITUTE AN ACCEPTANCE OF ANY RESPONSIBILITIES ORLIABILIIIES B)' GARFIE? D COUNTY FOR ERRORS, OMISSIONS OR DISCREPANCIES. LTTE RESPONSIBILITY FOR THESE ITEMS AND IMPLEMENTATION DURING CONSTRUCTION RESTS SPECIFICALLY WITIIT E ARCHITECT, DESIGNER. BUILDER AND OWNER. COMMENTS ARE INTENDED TO BE CONSERVATIVE AND IN SUPPORT OF THE OWNERS. INTEREST. Cmform.003 T HEREBY ACKNOWLEDGE THAT T HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE. f LNITIAL Y2 -1244t 69' fa) 8128(qS/ 31 110 ciklikiP7V7 The following items are required by Garfield County for a final inspection: 1. A final Electrical Inspection from the Colorado State Electrical Inspector. 2. Permanent address assigned by the Garfield County Building Department posted where readily visible from access road. 3. A finished roof, a lockable house, complete exterior siding, exterior doors and windows installed, a complete kitchen with cabinets, a sink with hot & cold running water, kitchen floor coverings, counter tops and finished walls, ready for stove and refrigerator, all necessary plumbing. 4. A complete bathroom, with wash bowl, tub or shower, toilet stool, hot & cold running, water, floors and walls finished an a privacy door. Ali steps outside or inside over three (3) steps must have handrails, guardrails on balconies or decks over 30" high constructed to all 1994 UBC requirements. 6. Outside grading done to where water will detour away from the building. 7. Exceptions to the outside steps, decks and grading may be made upon the demonstration of extenuating circumstances, i.e., weather, but a Certificate of Occupancy will not be issued until all the required items are completed and a final inspection made. A CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED UNTIL ALL THE ABOVE ITEMS HAVE BEEN COMPLETED. ****CANNOT OCCUPY OR USE DWELLING UNTIL A CERTIFICATE OF OCCUPANCY (C, O.) IS ISSUED. OCCUPANCY OR USE OF DWELLING WITHOUT A C.O. WILL BE CONSIDERED AN ILLEGAL OCCUPANCY AND MAY BE GROUNDS FOR VACATING PREMISES UNTIL ABOVE CONDITIONS ARE MET. I understand and agree to abide by the above conditions for occupancy ,use and the issuance of a Certificate of Occupancy for the dwelling under building permit # f ci prmtcond,lst Date GARFIELD COUNTY BUILDING AND PLANNING 970-945-8212 MINIMUM APPLICATION REQUIREMENTS for SINGLE FAMILY DWELLING CONSTRUCTION including NEW CONSTRUCTION ADDITIONS ALTERATIONS and MOVED BUILDINGS In order to understand the scope of the work intended under a permit application and expedite the issuance of a permit it is important that complete information be provided. Adequate and complete information will prevent delays in the plan review process. Reviewing a plan and the discovery that required information has not been provided by the applicant may result in the delay of the permit issuance and in proceeding with building construction. The owner or contractor may be required to provide this information before the plan review may proceed. This causes delays because other plans that are in line for review may be given attention before the new information may be reviewed after it has been provided to the Building Department. Please review this document to determine if you have enough information to design your project and provide adequate information to facilitate a plan review. If you do not, it may be helpful to obtain a book titled "Dwelling Construction under the Uniform Building Code". This book is available to you through this department at our cost. Also, please consider using a design professional for assistance in your design and a construction professional for construction of your project. To provide for a more understandable plan in order to determine compliance with the building, plumbing and mechanical codes, applicants are requested to review the following check list prior to and during design. Applicants are required to indicate appropriately and to submit the completed check list at time of application for a permit. 1. Is a site plan included that indicates the distances of the proposed building or addition to propertylinks; other buildings, setback easements and utility easements? Yes .V 2. Does the site plan include the location of the I, S.D.S. (Individual Sewage Disposal System) and the distar es to property lines, wells (on subject property and adjacent properties), streams or Yes '' ater courses? 3. Does the site plan indicate the Iocation and direction of the County or private road accessing the property Yes 4. Do the plans include a foundation plan indicating the size, location and spacing of all reinforcing steel in accordance with the uniform building code or per stamped engineered design? Yes ✓ 5. Do the plans indicate the location and size of ventilation openings for under floor crawl spaces and the clearances required between wood and earth? Yes JJi:} 6. Do the plans indicate the size and location of ventilation openings for the attic, rooijoist spacess and spits? Yes ,/ 7. Do the plans include design loads as required under the Uniform Building Code for roof snow loads, (a minimum of 40 pounds per square foot in Garfield County), floor loads and wind loads? Yes 8. Does the plan include a building section drawing indicating foundation, wall, floor and roof construction? Yes Does the building section drawing include size and spacing of floor joists, wall studs, ceiling joists, roof rafter Yes foists or trusses? 10. Does the building section drawing or other detail include the method of positive connection of all columns an earns? Yes 2 11. Does the plan indicate the height of the building or proposed addition from the highest point of the building or addition measured at mid span between the ridge and the eave down to existing grade co ours? Yes 12. Does the plan include any stove or zero clearance fireplace planned for installation including make and mod and Colorado Phase II certifications or phase II EPA certification? Yes A / I No 13. Does the plan include a masonry fireplace including a fireplace section indicating design to comply with the niform Building Code Chapter 37? Yes No 14. Does the plan include a window schedule or other verification that egress/rescue windows from sleeping rooms or basements comply with the requirements of the Uniform Building Code? Yes No 15. Does the plan include a window schedule or other verification that windows provide natural light and ventilation or all habitable rooms? Yes No 16. Do the plans indicate the location of glazing subject to human impact such as glass doors, glazing immediately adjacent to such doors; glazing adjacent to any surface normally used as a walking surface; sliding glass doors; fixed glass panels; shower doors and tub enclosures and specify safety..g!aazing for these areas? Yes No 17. Is the location of all natural and liquid petroleum gas furnaces, boilers and water heaters indicated on the plan? Yes 44 17110 C- No 18. Do you understand that if you are building on a parcel of land created by the exemption process or the subdivision process, are building plans in compliance with all plat notes and/or covenants? Yes No 19. Do you understand that if you belong to a homeowners association, it is your responsibility to obtain written permission from the association, if required by that association, prior to submitting an application for a building permit? If you do not have written permission from the association, do you understand that the plan check fee will not be refunded should the architectural committee deny or reject your building plans? Yes A//1 No 3 20. Will this be the y residential structure on the parcel? Yes No If no -Explain: 21. Have two (2) ete sets of construction drawings been submitted with the application? Yes 22. Is this an application for the placement of a m • id home? Yes No If yes, have you specified the size of the unit (min. 20ft. x 20ft, ); live roof load (min. 40#); wind design (min. wind speed of 80 mph & 15 ib. wind load); foundation design; method of anchoring? Yes 23. Have you designed or had this plan designed while considering building and other construction co uirements? Yes No 24. Does the plan accurately indicate what you intend to construct and what will receive a final inspection by t arfield County Building Department? Yes No 25. Do you understand that approval for design and/or construction changes are required prior to the applicatio these changes? Yes No 26. Do you understand that the Building Department will collect a "Plan Review" fee from you at the time of application and that you will be required to pay the "Permit Fee" as well as any "School Impact" or ,"Septic System" fees required, at the time you pick up your building permit? Yes No 27. Are you aware that twenty four (24) hour notice is required for all inspections? Inspections will be made from Battlement Mesa to West Glenwood in the mornings and from Glenwood Springs to Carbondale in the afternoon. Morning inspections must be called in by 12:00 p.m. the day before; afternoon inspections must be called in by 5:00 p.m. the day before. ire to give twenty four (24) hour notice for inspections will delay your ins ion one (1) day. Inspections are to be called in to 945-9159. Yes n No 28. Are you aware that you are required to call for all inspections required under the Uniform Building Code includin approval on a final inspection prior, to receiving a Certificate of Occupancy an upancy of the building? Yes . r No 4 29... Are you aware that the person signing the_Permit Application, whether the "Owner", "Agent of the Owner", "Qeneral Contractor", "Contractor", or otherwise, is the party responsible for the project complying with the Uniform Building Code? Yes ✓ No 30. if you are accessing a county road and do not have an existing driveway you will need to acquire a driveway permit from Garfield County Road and Bridge. Their phone number is 945-6111. You will need to show proof prior to the issuance of the building permit. I hereby acknowledge that I have read, understand and answered these questions to the best of my ability. g4ia4 Phone: - 79_gcW days); Project Name: Project Address: 0 7 tz, Notes: date c6 ( (evenings) a---5 .eve-&-- )466) Toij If you have answered "No" on any of the questions, you may be required to provide this information at the request of the Building Official prior to beginning the plan review process. Delays in issuing the permit are to be expected Work may not proceed without the issuance of a permit If it is determined by the Building Official that additional information is necessary to review the application and plans to determine minimum compliance with the adopted codes, the application may be placed behind more recent applications for building permits in the review process and not reviewed until required information has been provided and the application rotates again to first position for review, delay in issuance of the permit or delay in proceeding with construction. Per App 02.95 Effective August 15, 1995 5 SENT BY" 9- 1-98 ; 9:16 ;ALPINE BANK OF COLO. 970 945 7785;# 1/ 7 TO: DON OWENS FROM: DWIGHT FELKEY DATE: SEPTEMBER 1, 1998 RE: REMODEL FOR 716 County Rd 110, Glenwood Springs, Co. Owncr Dwight Felkey Design by Ltuidin/Yost. Following is the information you requested on the Septic System_ if you have any further questions please get in touch with me at 945-564] or Karla. Fclkcy at 945-8022 ext 248. Thanks SENT BY; 9- 1-98 ; 9:16 ;ALPINE BANK OF COLO. - 970 945 7785;# 2/ 7 ' • •�i/ •��' ,�Vo .y n`!� �P•...�,ig_ d,L„ ��, cy �' Y, ,,y� �+4'M,.� 5f • INDIVIDUALrSEWAGE DISPOSAL PERMIT'.• y`�� ' oes not constitute irtillightiftlepermit. lowl;er:• . Chuck Becker ....\ „......� System Location D716 110 Read,. Calbr►dat ' seine as above • • Licensed Installer Conditional Construction approval is hereby granted for a Yr Septic Tank or Aerated treatment unit. Absorption area or dispersal area) computed as follows: Pert rete of one inch in 3l minutes requires a minimum of 43 sq ft of absorption area per bedroon+. lvvo 'a*� O ''ballonY Therefore the no. of bedrooms 4 >r 432-;q ft minimum requirement = a total of - j'7 jg. ft. of absorption area. "" , •/ May we suggest i6 % q 6 X Date L"s 811f $ zr FINAL APPROVAL OF SYSTEM: z4 ' K 7Z' X 3 I Inspector ir No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to cover- ing any part. • toK K dq< 0 tn( Date Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground surface. Proper materials d assem ly. � X400 Tra n�of sep it to k or aerated tre3finent unit - Adequate absorption (or dispersal) area. Adequate compliance with permit requirements. Adequate compliance with County and State regulations/requirements. Other 'CONDITIONS: 1. All installation thority granted / 57E3 2 -- RETAIN WITH RECEIPT RECORDS must comply with ail requirements of the County individual Sewage Disposal Regulations, adopted pursuant to au - in 66.44.4, CRS 1963, amended 66-3-14, CRS 1963. ' 2. This permit is valid only for connection to structures which have fully complied with County zoning and building requirements. Connection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a viola• tion of a requirement of the permit and cause for both legal action and revocation of the permit. 3. Section III, 3.24 requires any person who constructs, alters, or installs an individual sewage disposal system in a manner which in• valves a knowing and material variation from the terms or specifications contalnedi in the application of permit commits a Class 1, Petty Offense (5500.00 fie - 6 months in jail or both). y ....i. , Departments Pink Cagy, , _ • APPiicinl: Orrin CoPV SENT BY OI�NE. ADDRESS APPLICANT ADDRESS CONTRACTOR ADDRESS PHONE PHONE IS PERMIT FOR: ( New Installation ( ) Alteration ( ) Repair Attach separat sheets or report showing entire area with respect to surrounding areas, topographer of area, habitable buildings, location of potable water wells, soil percolation test holes, soil profiles in test holes, LOCATION OF PROPOSED FACILITY: Near_. what. City or Town Legal Description ,1 County WASTES TYPE: fr5 Dwelling ( ) Commercial or Institutional ( ) Non-domestic Wastes ( ) Other - Describe: BUILDING OR SERVICE TYPE: Number of Persons Number of Bedrooms _ Garbage grinder (,)4 Automatic washer SOURCE AND TYPE OF WATER SUPPLY: ( ) well Give depth of all wells within 180 feet of system If supplied by community water, give name of supplier: Lot Size r ( ) Transient Use ( ( ) Dishwasher spring ( ) stream or creek • 4/, .✓ r GROUND CONDITIONS: Depth to bedrock: Depth to first Ground Water Table: Percent ground slope: f/ A -r---- DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: Was an effort made to connect to community system? TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (/1 -Septic Tank ( ) Vault Privy ( ) Pit Privy ( ) Chemical Toilet FINAL DISPOSAL BY: p< Absorption Trench, Bed or Pit ( ) Underground Dispersal ( ) Above Ground Dispersal ( ) Other - Describe: ) Aeration Plant ) Composting Toilet ) Incineration Toilet ) Other - Describe: ( ) Vault ( ) Recycling, potable use ( ) Recycling, other use ( ) Evapotranspiration ( ) Sand Filter ( ) Wastewater Pond SENT BY; 9- 1-98 ; 9:17 ;ALPINE BANK OF COLO.-, . SYSTEM IS DESIGi1ED FOR GAl,.LONS PER DAY ' If the system is to be designed by a Registered Professional Engineer (RPE), state rate Gf absorption in test holes shown on the location map, in minutes per inch of drop in water level after hales have been soaked for 24 hours: 970.945 7785;# 4/ 7 SOIL PERCOLATION TEST RESULTS: Minutes per inch in hole No. 1 Minutes per inch in hole No. 3 Minutes per inch in hole No. 2 Minutes _ per inch in hole No. Name, address, and telephone of RPE who made soil absorption tests: Name, address, and telephone of RPE responsible for design of the system: APplicant acknowledges- that.the_cgmpletenessof the application is conditional upon such further mandatory and additional tests and reports as may be required by the local health department to be made and furnished by the applicant or by the local health department for purposes of the evaluation of the application; and the issuance of the permit is subject to such terms and conditions as deemed necessary to insure compliance with rules and regulations adopted under Article 10, Title 25, C.R.S. 1973 as amended. The undersigned hereby certifies that all statements made, information and reports submitted herewith and required to be submitted by the applicant are or will be represented to be true and correct to the best of my knowledge and belief and are designed to be relied on by the local department of health in evaluating the same for purposes issuing the permit applied for herein. 1 further understand that any falsification or misrepresentation may result in the denial of the application or revocation of any permit granted based upon said application and in legal action for perjury as provided by law. Date Signed Oiftt PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY �F� SENT BY7 9- 1-98 ; 9:17 ;ALPINE BANK OF COLO. - 1 PLOT PLAN AND DESIGN FEATURES: Include by measured distance location of wells. springs, lake. water rr aesupp y lines, cisterns, buildings, property lines, subsoil dr ter course, stream, dry gulch and show location of proposed system by direction from dwelling or other fixedssdata reference object, plans, specifications, n�submissions n support of this application u commitments. 970 945 7785;# 5/ 7 Address PERCOLATION TEST DATA 71,11Q f-cp k' /y0 Profile Iiote f`/pr' - c•Age _,_e TEST HOLE 01 02 03 TIME (Min.) Level , Drop Level Drop level Drop 4 -A 5 _.‘gre3 06 /6 *. �(a / 10__ )/8_f/4. /4.7 20 S% ,A, 6 41G G 78 .. 25 A-- _ 30 SA %6 ��t5 - / r 35 40 45 50 55 60 Percolation Rate 5'{7 minutes per inch. SENT BY; 9- 1-98 ; 9;17 ;ALPINE BANK oF PERCOLATION TEST DATA Address 7_az11c22j Lt Profile hole 970 945 7785;# 7/ 7 TEST HOLE 1/1 #2 0/3 TIME (Min. Level 0 5 10 15 20 25 30 35 74 7% Drop Level Drop Level Drop 5' 4% Ai' 40 45 50 55 60 Percolation Rate minutes per inch. INSPECTION WILL NOT BE MADE UNLESS THIS CARD IS POSTED ON THE JOB 24 HOURS NOTICE REQUIRED FOR INSPECTIONS BUILDING PERMIT GARFIELD COUNTY, COLORADO Date Issueff)i/ D Zoned Area Permit No4 89 AGREEMENT In consideration of the issuance of this,permit, the applicant hereby agrees to comply with all laws and regulations related to the zoning, location; construction and erection of the proposed structure for which this permit is granted, and further agrees that if the above said regulations are not fully complied with in the zoning, location, erection and construction of the above described structure, the permit may then be revoked by notice from the County Building Inspecr IMMEDIATELY BECOME NULL ND_VOID. Of\ i I 1J, ij , 1"(A1- ; iv k I D ti n07 Y IR) T 's tf to 6 # i\.e4� 0� Contractor �W[I4V► 054 C01154`• Setbacks Front Side Side Rear This Card Must Be Posted So It is Plainly Visible From The Street Until Final Inspection. Use Add 2/ Own • • . INSPECTION RECORD Footing 1.0 ('R. 1 C•, ?Z (1,..:"� Foundation f' C: Underground Plumbing Insulation ; . ti Rough Plumbing s• �? 7_q 4 Drywall el _ ,) . ,;-: ..' ;1 rt ; , Chimney & Vent Electric Final `by State spector) /2-/-95, 'Tit Gas Piping 'S -1 7_4c' A_m%f►r .- J r. Final /-� 7o %yr Electric Rough (By State Inspector) s- I. , Septic Final Framing S -17/.69 frcv.rit (To include Roof in place and Windows and Doors installed). 4 , • Notes: i _,_ .. - • ,:.1 , , , , : I) :: w t(r A h 5 is .1 :c;`11 Ar ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING - WHETHER; NTERIOR?OREXTERIOR, UNDERGROUND OR ABOVE GROUND. a 6��0 350¢3 THIS PERM -41"'.4471.;:e5:91' Phone 945-91, . 9 .. I)9 8 treet APPROVED /-04 Date L IF PLACED:.OFUTSI T IS NOT TRANSFERABLE County Courthouse Glenwood Springs, Cot rado. STROY THIS CARD C 0 VER WITH CLEAR PLASTIC ilia, .f r: X'