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HomeMy WebLinkAbout01.0 Division of Land Application FormCommunity Development Department 108 8`h Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.cam TYPE O BDIVISION/EXEMPTION Owner/Applicant Name: Kip CCS4"af3D LLQ_Phone:(T10 ).3)9`x777 I Mailing Address: 1767 2(O 3/; D \<01 City: Ra`V:\OLC, State: e50 Zip Code: W) 53-(P I -Minor Subdivision Representative (Authorization'Required) �r Name: t CLIC\t `C kaci��� Phone: ( -I l0) teE-J • d3 SU • Preliminary Plan Amendment Major Subdivision PROJECT NAME AND LOCATION • Final Plat Amendment • Sketch • Preliminary ❑ Final Legal Description: &-c%o,.m )a onskgr3 te --Pctv�ote. 9'4 Tato- Of Land IT I `i 11 A-G'iL 0- I/LNW )S\A 0 Common Interest Community Subdivision Conservation Subdivision 0 Public/County Road Split Exemption • Yield • Sketch ■ Preliminary ■ Final ■ Rural Land Development Exemption • Time Extension INVOLVED PARTIES Owner/Applicant Name: Kip CCS4"af3D LLQ_Phone:(T10 ).3)9`x777 I Mailing Address: 1767 2(O 3/; D \<01 City: Ra`V:\OLC, State: e50 Zip Code: W) 53-(P E-mail: clic it DitR in sr a cAtynn Representative (Authorization'Required) �r Name: t CLIC\t `C kaci��� Phone: ( -I l0) teE-J • d3 SU MailingAddress: 1`130 Y 1kcu`r©cc-cJ (1-02.._. ��33 p City: \"-t—U� State: li� Zip Code: pp 5D E-mall:`rLiC G°- - kI6..1'aa'tc_CLUM gCOWI PROJECT NAME AND LOCATION Project Name: �evivi to-) kispCo-1-0,A3n LLL kh,o�n COSAVI5Q in ilnn2 dth I Assessor's Parcel Number: 02 1 7 7 1 •)-a-00 0 (J (;! v Physical/Street Address: 22'8'03 -.vv( t0 '-D I�ilf-6f CO 0ib.S7D /t'- Legal Description: &-c%o,.m )a onskgr3 te --Pctv�ote. 9'4 Tato- Of Land IT I `i 11 A-G'iL 0- I/LNW )S\A // 2 Zone District: COW „r„� LCc n 0 Gc LQ�+ Property Size (acres): (,P c d B Project Description Existing Use: to, 3 aottia- (AM --A_ ‘.2l3udebri YJ1 _PClat CoYlSJSI5vW D{-' / l DDD 0 , U.azci Sc_ (ki mettediral frcte-4) paidtMgj , cert ei • Proposed Use (From Use Description of Project: Table 3-403): LpiceuSt ! i 0-1 Proposed Development Area Land Use Type # of Lots # of Units Acreage Parking Single Family Duplex Multi -Family Commercial Industrial - „ 2 1, eS Open Space Other Total REQUEST FOR WAIVERS Submission Requirements The Applicant requesting a Waiver of Submission Requirements per Section 4-202. List: Section: Section: Section: Section: Waiver of Standards 8 The Applicant is requesting a Waiver of Standards per Section 4-118. List: Section: Section: Section: Section: I have read the stat ents above and have provided the required attached information which is correct and a cur, yf tt 'e best of my knowledge. ture of Property OUfner Date OFFICIAL USE ONLY File Number: - Fee Paid: $