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HomeMy WebLinkAbout3734r L .. 'Jr GARFIELD COUNTY APPLICATION FOR BUILDING PERMIT 373PERMITNUMBS please print or type DATE 77.F1 / TO BE FILLED OUT BY APPLICANT PLOT PLAN ADDRESS 725962,41142 NOTE: Show easements, property line dimensions, SUBDIVISION all other structures, specify north, and Street FILING #LOT #BLOCK #name. For odd shaped lots, or if space is 8 TAX SCHEDULE #too small, provide separate plot plan.a LEGAL (SFC /TWN /RNG)OF BUILDINGS NOW ON PARCEL USE OF BUILDINGS NOW ON PARCEL FI y W MAILING ADDRE R.$ 5 V dr oo CITY lµ/c 4 e,,,mG4 PHONE war= NAME a E ADDRESS / €/Z e JD / 52.9n2I2CITY 6(6.11, to E - NAME G ADDRESS " " ""` CITY w,/ /,L' 9 ogetAl[ E IPHONEq 73 LICENSE # CLASS OF WORK 4 NEW ALTERATION D` ADDITION DEMOLISH REPAIR MOVE fo.BI4E HOME (make /model) 4/44 th.P'- ' OF BUILDING S.F. OF LOT O ,FLOORS HEIGHT 7IYi 0 OF`;.UNITS 0 OF BEDROOMS INTENT . :.-i. BUILDING Re. &' Vf AcsE a, DBL CARPORT; SINGLE DEL FRONT PROPERTY LINE DOCUMENTS ATTACHED STREET NAME /ROAD NUMBER _CA Eci WATER SUP - ` ,LY:: Jt -- CHECK IF CORNER LOT _ DRIVEWAY i.- '. T E R PTION OF P 'NNE. SITE PLAN•F ":.'Arrir,4#A - - ;' .T- r^' it BUILDING - •' INS 1j•Tr)r..9t.!!AT r SANITARY S ".,•. LEARANCE _I hereby ackno edge th -t I have read this ON SITE SE', AGE . SPOSAL PERMIT application and the above is correct and I OTHER DOCU NTS.'specify)agree to ply w h add county ordinances i.and st aws r ul ng building c.ns action i Jf % I sW, SW JEFF S. S/MLh/ / i . 4 OR OFFICE USE '.N VALUATION lair / 3 Zr© o FLOOD HAZARD PERMIT PEE `-7fl?LAN CHECK FEE V., 0 CERTIFIED BLDG ELEVATION TOTAL FEE O SCHOOL IMPACT FEE $ 37L SPECIAL CONDITIONS DATE PERM; QED zopliN9 at RIC 9 ///+c A PROBLEMS WITH PERMIT E F OCR' UTROE.F TRU TtON ADDITIONAL INFORMATION NEEDED OF BU I t erg S.F, OF LOT `.-,P3 Qc,X, HEIC(lT ROAD CLASS.CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR p4 TBACKS -E,RLIM& y0PERTY LINE:. FRONT SCE° ir OR ENGINEER oeR e GHT _LEFT rSTRrP , I e " wrCESREQUIRED C qn rA pv A • • ROVE riftf /.'J/ •. " /!{{//APPROVED r a G ., '1771' w DA E'PLANNI rG DEPARTMENT DA E