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GARFIELD COUNTY
BUILDING, SANITATION ana PLANNING DEPARTMENT
109 8th Street Suite 303
Glenwood Springe, Color•do 81601
(303) 94~8212
04354 1 ·
Job Address ------'2"-" 9=-· _I=-'"="=i:::.r.::w::::a2y_::L:::a::n:..:'=-' ___ c::::a:::.e:::·'='W:;.<>:_o~d--=S.:µ.:r.:i:.::nc:g:::":..' -------------------
Nature of work Bu.ildi11u P crmi. t
Use of Building --....i==w~a.-------------------------------
Owner --------'1'-'('c.'"-"=" "'l-=:S=ir.=ico1.'.cch:_ _______________________________ _
Contractor ____ _::uw::.:::n::::e:::r ___________________________________ _
Amount of Permit $ _ _,,2=2=2'-'._,_7~5 _______ _
White -Treas.
Canary -Office
Flink -Applicant
Gold -Duplicate
Permit $135. 00
l'Lrn $B7. 75
Date: October 17, 1991
Clerk
GARFIELD COUNTY
APPLICATION FOR BUILnING PERMIT
PERMIT NUMBER L/3'54
DATE I Q -I 1 -9 I please print or type
TO BE FILLED OUT JlY APPLICANT
-~\ADDRESS ' 1.") fit~ey.j-!111., i-
>--' SUIJDlVISION 1#,tbt-!.l'!J{ -·-·~-·-
j FILING # l..,_ LOT ~ /£ BLOCK #
;'.J TAX SCllEDULE #
LEGAL (SEC/'FW:V/RNG)
DE MOL.I SH RF: PAIR MOVt:
-~~~~ ----~~··~---Motl.TU: lllJ/1P (makc/lXJdel)
S.F. OF BUILDING ot;.u,,,.Jj.:._F. OF LCJT-lactC(
# OF FLOORS &.JO:;.;;.f,,,yj[t!ELGHT :60.fl. :f: _
# OF FAMH,Y UNITS j # OF BEDROOMS ... / ,t.4 l,Jj
INTENDED USE OF BUILD'iNG &Lt2!J/.J.iTll M ..f"'}J...~
GARAGE: SlNGLf,x_ etf,;-..+,, 1Jlo~POR:f SINGLE_ DB'L ----r
F lREPLACE ,f:la " _ ,_,,,. ~
. ----------DOCUMENTS ATTACHED
WA-TER-SUPPLY' 110~·. ;~~Q,v,, •h Wnk ;~
DRIVSWAY PERMIT _f.E,,_.,,,,__'-'~'----'--'----"'---'-'l--J'--------
SITE PLAN . f:h ---~""-''-"'LlLl""--4'<~-----------
B U I LD I NG PLANS _£0),,'-'~"'""'1"-''""4~~____._--------
SAN ITARY SEWER CLEARANCE / A/iinffln<~ ~
ON STTE SSWAGE DISPOSAL PERMIT &,,'fi•. fjJt0!<t-.
OTllER DOCUMENTS {specify) -------
__ __,_F_.tJ'-"llL!l.11 4..±io-.. f/a 11 ~-----•
VALUAT.ION ~---..=-=----'----'Y---=-=:___o.___,_• __:<>:___o=o::_--===
PERMTT FEE $ ~ •P N CHl::CK PEE f___SZ zr--
TOTAL FEE $ ;? Z z,7'-{""' SCHOOT. nJPACT JiEE $ #
DATE: PERMTT TSSUED ----~~---.+.----l----
ZONING DISTRICT jell 9 _. A)a:oj 124/
'J'YPE: OT' OCCUPANCY £..._ 3
TYPE OF CONSTRUCTION J4r Iv' -·-------
S .F. OF BUlLDING >bl 7 !l!f(fd;; .F -OF LOT ... t I g. c I
MAX. HETGHT 4rtt ROAD CLASS. -=t=-J
SETBACKS YRUM PROPER'17y LTNE: FRONT .t/ffe~
REAR RlGl/T LEfT''
OFF Sl'REET PARKING SPACES REQUlRED
APPROVED:
• ~ PLOT PLAN
NOTR: Show e~'§J'm~ts, property line dimensions,
a..71 other structures, spe~ify north, and street
na1ne. l?or odd sl:iaped .lots~ o.r i.t-space is
too .srna.1.1,. _provide separate plot plan.
# OF BUILDINGS NOW ON PARCF.L _ __:l''--------·---
USE Of' IJU1LDTNGS NOW ON PARCJ'L
~ h ~..,,, ,/ y ~""",r,"--"' "="""'·'-"-±i'-=Af_,____ ___ _
FRONT PROPERTY LINE
S'I'RPET NANE/ROAD NUMBER @,-.-w"'YL<J>K. -,.H(,t&i~R~
Cl/ECK IF CORNER LOT T
DFSCRIPTION OF f'/ORK PLANNED ---------
fu'll.t<-bth? 1= Fitu.trJ.dit-vi
T hereby acknowledge that I have re~d this
application and the above is correct and I
comply w.i th all county ordinances
uild g construction
FLOOD HAZARD ----------------
CERTIFIED BLDG ELEVATION ----------
SPBCTAT, CONDITIONS--------------
PROBLEMS •!ITH PERMIT -------------
ADDT1'TONAT, INFORMATION NEEDED --------
CERTIFl'ED BY COWRADO REGTSTERED LAND SURVEYOR
OR ENGTNEER -----------------
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LOT 16
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SITE PLAN
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