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GARFIELD COUlllTY
BUILDING, SANITATION and PLANNING DEPARTMENT
109 Bth Street Su lie 303
Glenwood Springs, Color•do 81601
(303) 945-8212
5374 lOO Rd. Carl:ondale
•. ,,, r-,.,. ' .•
03769
JobAddress ------------------------------------------
Nature of Work Building Pei:mit
Use of Building __ Barn ___ wi_._th __ Apar.tlnen-=--_· ___ t_fi_o_r_anp-=-_l_o=.y_ee_s ____________________ _
Owner _____ J_ak_e_S_ton __ er ____________ _
Owner
Contractor -----------
Amount of Permit: $ __ 5~6~7~-~6~0~-------
White~ Treas.
Canary -·office
Pink -Applicanl
Gold -Dupllcare
344.00
223.60
Dale: 8/28/89 --.----'---'------------------
E. Haring ---------------·--~·,~-.... -----
Clerk
SEE ATTA: ct/lb JlTTEI(
.. GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT
PERMIT NUMBER __;;;J/'l;.....c__.c_t__,_! __
DATE -'l..f-<¢-/."'-t~!-.i-1-::-:t~ ploase print or type
TAX SCHEDULE #
. --------------LEGAL (SEC/TWN/RNG)
gj NAME
~ MAILI
o-tC~I~TY~~~~~~:2::£::.~~~~~~~
NAME -a "' ~ ~ ADDRESS CITY ---'"'5P/[/~ "' NAME
! ADDRESS
CITY
PHONE LICENSE I!
'-'
CLASS OF WORK
NEW ~ ALTERATION ADDITION ----DEMOLISH REPAJ;R MOVE
MOBILE HOME (make/l'lOdel)
S.F. OF BUILDING S.F. OF LOT /3~
# OF FLOORS HEIGHT ------''--....-~--
# OF FAMILY UNITS # OF BEDROOMS ..... I
INTENDED USE OF BUILDING 'f3DRN ;. ftr0
GARAGE: SINGLE_ DBL_ CARPORT: SINGLE_ DBL
FIREPLACE
WATER SUPPLY
BUILDING PLANEJ--..J-=---------------
SANITARY SEWER CLEARANCE
ON SITE SEWAGE DISPOSAL P-E~R-M~I~T----------
OTHER DOCUMENTS (specify)
NOTE: Show easements, property line dimensions,
all other structures, specify north, and street
name. For odd shaped lots, or .if space is
too smal.1, p.rovide separate plot plan .
# OF BUILDINGS NOW ON PARCEL --------
USE OF BUILDINGS NOW ON PARCEL --------
FRONT PROPERTY LINE
STREET NAME/ROAD NUMBER -~f~Q~Q..._fC~',,f)~~~--~
CHECK IF CORNER LOT-----..>.
DESCRIPTI[JN OF W\)RK PLA.-NN_E_D_<S_14_R_/J..-,-,~,;~+~1-1-,--
fl ppm:i!phen.tt-
I hereby acknowledge that I have read this
application and the above is correct and I
comply with all county ordinances
1 building construction.
FOR OFFICE USE ONLY
ADDITIONAL INFORMATION NEEDED -----~--
CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
OR ENGINEER -----------------
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j --~-~~"_a_h ____________________ _
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