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GARFIELD COUNTY
BUILDING, SANITATION ana PLANNING DEPARTMENT
109 8th Street Su lie 303
Glenwood Springs, Colorado 81601
(303) 9-212
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JobAddress _____ ___!Ro~l~l~ill9";!!!,L£M~..,.,~l~ow~s;__ _ _;;;S~i~l~t~._l..CQu_ ___________________ _
Nature of Work Buildim Pei:mit
Use of Building -'S"'/Fc;;,.....:Re=s::;id=enc=°'e"--------------------------------
Owner ____ I;:i--'--'yd"-'--_A_;.'---'W-'il=-=son=-o'---------------------------------
Contractor ___ awn __ er _____________________________________ _
Amount of Permit $ ----t64>4-l.0J....;.2:t01--------
388, 00 Pei:mit
White-Treas.
Canaty -Office
Pink~ Applicant
Gold -Duplicate
252.10 Plan
Date; ~/29/89
E. ~ing
Clerk
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J GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT
please print or type
TO BE FILLE OUT BY AP LICANT
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NAME
ADDRESS
!NAME ADDRESS
CITY
IP HONE
PHONE z74s r..ua7
LICENSE #
CLASS OF WORK
NEW ___ 1.7 __ ALTERATION ADDITION ----DEMOLISH REPAIR
MOBILE HOME (make/model) ----MOVE
S.F. OF BUILDING fC,$iQ S.F. OF LOT-z:? /c00
# OF FLOORS ,, HEIGHT ;iJ E1=
# OF FAMILY UNITS / # OF BEiDR06MS . 3
INTENDED USE OF BUILDJNG -;/e 5 ·, de" c p
GARAGE: SINGLE DBL ,_,,..CARPORT: SINGLE DBL
FIREPLACE WC?a? CCt::fove_ -
DOCUMENTS ATTACHED
WATER SUPPLY _ _..!.IJ=...c-..1__,_l _________ _c.. __
DRIVEWAY PERMIT
SITE PLAN Jl .~C~o-'£_!:!;_!::,..._~-------
Bl/ILDING PLANS j! s;;;+ ~ ·
SANITARY SEWER CLEARANCE .:: r1 c 4 d
ON SITE SEWAGE DISPOSAL PERMIT .
~--------0 THE R DOCUMENTS (specify)
PLOT PLAN
NOTE: Show easements, property line dimensions,
all other structures, specify north, and street
name. F'or odd shaped lots, or if space is
too smilll, provide sepilrate plot}'an.
# OF EUILDINGS NOW ON PARCEL {JLO I'! €_
l/SE OF BUILDINGS NOW ON PARCEL --------
I
FRONT PROPERTY LINE
STREET NAME/ROAD NUMEER c,, ... t1 /'/ RJ :;J~9
CHECK IF CORNER LOT
DESCRIPTION OF WORK PLANNED /:lau S c Ce n f ,
I hereby acknowledge that I have read this
application and the above is correct and I
to comply with all county ordinances
te laws regu at" g building construction
FOR OFFICE USE ONLY
APPROVED:
FLOOD HAZARD ---------------~ CERTIFIED BLDG ELEVATION -----------SPECIAL CONDITIONS
PROBLEMS WITH PERMIT -----------~
ADDITIONAL INFORMATION NEEDED --------
CERTIFIED BY COLORADO REGISTERED LAND Sl/RVEYOR
OR ENGINEER -----------------