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GARFIELD COUNTY DEPARTMENT OF DEVELOPMENT
BUILDING DIVISION
3rd FIOOf't Courthouse
100 81h Street
Glenwood Springs, Calorad.o 81601
(303) 945-8212
Job Address ___ Oo.;2;;;..7;..;7;_.,;Cour;.,;..;;::.;1:,::t"-y_Road::.;, ="-· ...:2::2,_,7_.:;;Ri=' =:"::::le::·_;;;• ...;O:::::o;:.:l::::o::.;r::oa=d=o_::Bl=-6~50'.:0:'._ _____________ _
Nature of Work oonstruction of nobile !Jure
residence
Useot Building ---------------------------------------
Owner SteveL. \libolsey
OWner
Contractor -------------------------------------------
Amount of Perm It$ 30.00,,_ _______ _
White -Treas.
Canary -Office
Pink -Applicant
Gold -Duplicate
Date: N'.Jvemher 19, 1985
Patricia .Tones McPherson
Clerk
• GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT
please print or type
j
SUBDIVISION
FILING # LOT #
"' TAX SCHEDULE # ,...,
LEGAL (SEC/TWN/RNG)
____ BWCK #
f:1 NAME
~ MAILING ADDRESS
CITY <::.,\\I" -NAME 5"' ~a ADDRESS
" NAME
~ ADDRESS
CITY ~ PHONE LICF.NSE # <.>
CLASS OF WORK
VEW IX ALTERATION ADDITION ----
?EMOLISH REPAIR MOVE
~OBILE HO/IE (make/l'IOdelL. \lJ!.U'\QS\ ,-i,-j-~-fJ--
> .F. OF BUILDING (,8j lfl S.F. OF LOT1:/jy;u,;fr
1 OF FLOORS HEIGHT /tJ ol ~
if OF FllMILY UNITS # ,RF BEpROOMS ----
[NTENDED USE OF BUILDING (/.{p41r;/ffeit(' £
;ARAGE: SINGLE ,--DBL --CARPORT: SINGLE _,..-DBL.---·
"IREPLACE --Nerii., ---
DOCUMENTS ATTACHED
PLOT PLAN
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, pr.ovide separate plot plan.
# OF BUILDINGS NOW ON PARCEL ~f\l..:...:0~1\1 ..... ~fi'-----
USE OF BUILDINGS NOW ON PARCEL --------
FRONT PROPERTY LINE
STREET NAHE/ROAD NUMBER -=Q,..'l.~1~-"~A~---
CHECK IF CORNER LOT
DESCRIPTION oF woRK PLANNED Qe.r Pf\dS \-•f' 'f\'\l)'p' \1. hn (hg,,
I hereby acknowledge that I have read this
application and the above is correct and I
agree to comply with all county ordinances
·~~uilding construction
GNATURE :&==.
FOR OFFICE USE ONLY
FLOOD HAZARD ~--------------
CERTIFIED BLDG ELEVATION ~---------
SPECIAL CONDITIONS ~------------
PROBLEMS WITH PERMIT ------------
ADDITIONAL INFORMATION NEEDED ~-------
CERTIFIED BY COLORADO REGISTERED
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