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B PERMIT APPLICATION
GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
Garfield County, Colorado, A if Y+ / 198-3
Owner: ekt. Vier 1; / ei ti_bn lee
Contractor or Builder:l ,/ a i it Y AlLI -re-
Location:y r 4 1 .0 A.- . rL/ACJ • A__"
r lPurposeforwhichbuildingistobeusedadeli .4 w 74 iffv.sr C a 11, e 94- le. r/ ye) ,"
Size of Lot:
f
Distance of building from property line at
Front:Rear:Left Side: 00 Right Side:
Distance from nearest building:
II
Number of stories: c2
Source of water supply: C1144 k % 7`/ G 3 e"5 Number of rooms:
Type of sewage disposal: Se, ? i e Type of foundation: 0 14C r e c.
Width of building: c2 Material in outside walls: Leo d
Length of building: &O l Od/ d) hi")Exterior finish:cod 6 %Ilk 4-ii
Height of walls: 7/(2 Type of roof: 6 s # 4 A ; 1.4
Floor space in square feet: er,
Estimated value: $ coo
e Q
Date construction will begin: , 4ri l / ap-_&111_ Date of completion:Jl £ .?
Permit charge: $
Plan check fee: $4
TOTAL: $ _,/__7_ ..- ._.- . ._____
And I /We hereby agree to build strictly to the terms of the above description, and also to clear the grounds and
adjacent street or streets of all rubbish and debris caused by the construction of said building.
Respectfully,2......te
The County Commissioners hereby grant the above permit as per terms therein stated. This 0 - day of
4 ..1i / r/19 &3 e
4/4/..L.fite, ' / 41 : 4 44 71f ,et , e S — rip RUILD[NC, OFFICIAL