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CIAllPllLD COIJllTY DEPARTMINT 0, DEVELOPMENT
llUILDING DIY•ICHW
lnl l'loor, Courtho••
100 81h Slreel
Glenwood Sprlngo, Colorado 81801
(303) 945-82U
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JobAddress ----"0=1=2-"'J-"Creeds===ide=.· ...::ct=·..:.•_G::::l:::enw:x:xl::!::::::::::!.... _____ _._ _____________ _
Nature of Work Building Permit
Use of Bull ding ___ ....::D.::b.::l.:.· ....::('""::g::r.::ag.i:.e;;,.,.-..,,;Au:.;:;.to=...:S::.to:::::r:.:a:::gi..:e;..· ----------------------
Owner Y.enneth Wiencek
Contractor ------=E=o:;'--"eon=::!stru=;:c°":t=ion.:!! __________________________ _
Amount of Permit: $ --~9~4~. =2"-0 ______ _
White -Treas.
Canary· Office
Pink -Applicant
Gold -Duplicate
Date: Augustl3, 1986
.Lois J. Butzen
;. '-~ '~ .. '
.... ·
GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT
PERMIT NUMBER _5,,.2 "Jf
DATE .I /13 Uh please print or type ---'~/_,___~,, ....... ~-----
TO BE FILLED OUT BY APPLICANT
---ADDRESS()/;.& c~~·J;1<~1pef ct.
SUBDIVISION Tl/o< mcrrrlt<'-'-J!$"""'1t:. /!.<!l!;Tir=-r,:"'_"-7 __ ~ FILING # LOT # ~---BLOCK # __
-TAX SCHEDULE #
'"" LEGAL (SEC/TWN/RNG) ________ ,
«: NAME Kl£t/J.J<£7N W11£N'C.OC. _, ____ _
~ MATLT~G ADDRES~.;13 '~l<l::.lrDc"" c+.1
o CITY(S,lfi#,.,.,~p S/';!',4to). PHONE '2£S:-7Tr
j5 NAME ~ s -IA~D:__D_R_E_s_s.========~CITY-======
" NAME £CC:., Con/57,e.,.;_r;o~
~ ADDRESS
" CITY ,.,/e;t-) ~ IPF/ONE
l'A~Tt... .;---
LICENSE ~
CLASS OF WORK
NEW ){ ALTERATION
DEMOL-i~~-----REPAIR
ADDITION
MOVE
MOBILE HOME (make/l'IOdel) .
s. F. OF BUILDING S"t>V'---s:::--:. F=-.----=oc=F-I=-,o=-=T-,-{)--,f"""'f."'a""
# OF FLOORS / HEl'GHT H'r J
PLOT PLAN
NOTE: Sl1ow easements 1 property line di:mensiCJns,
all other structures, specify north, and street
name. For odcl shaped lots, or if space is
too smal 1, p.rovidc separate plot plan.
# OF BUILDINGS NOW ON PARCEL
ust: OF BUILDINGS NOW ON PARCEL --------
# OF FAMILY UNI'Nf __ #d/;;,J,EDRQ s
INTENDED USE OF BUILDING ]~~_,,..](lj~~~~f?
GARAGE: SINGLE_ DBL.}l CAR-PORT: SINGL DBL
FIREPLACE
DOCUMENTS ATTACHED
WATER SUPPLY ' / I U~
DRIVEWAY PERM=I=T:-----------'---l-JllJ~~lf------
SITE PI,AN I
BUILDING PLANS
SANITARY SEWER CLEARANCE 1
ON SITE SEWAGE DISPOSAL PERMIT \ ---+-------0 THE R DOCUMENTS (specify) J
FRONT PROPERTY LINE
STREET Nl\1111/ROAD NUMBER
CHECK IF CORNER LOT
DESCRIPTION OF WORK PLANNED ---------
I hercb~ acknowledge that I have read this
applicat.ion and the above is correct and I
agree to comply with all county ordin~nces
and sta)e laws ting bui ing construction.
FOR OFFICE USE ONLY
APPROVED:
FLOOD HAZARJ)
CERTIFIED BLDG ELEVATION
SPf:CIA[, CONDITIONS
PROBLEMS YIITI/ PERMIT ------------~
ADDITIONAL INFORMATION NEEDED
CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
OR ENGINEER
APPROVED'-----------------=-=--
PLANNING DEPARTMENT DATE