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01.01 Updated Application
Garfield County Community Development Department 108 86 Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com DIVISIONS OF LAND APPLICATION FORM TYPE-&CJBDIVISION/EXEMPTION Owner/Applicant Name: Ki`D COS(-axvWi LLC Phone: (910 ) 375-d777 Mailing Address: 7.5 _ / (p 311 1) �1<0t City: ,�nSk,cx State: M Zip Code: SrI tjc;-c� Minor Subdivision Representative (Authorization Required) • Preliminary Plan Amendment Major Subdivision r E-mail: Thcx is R. ® ` k t arch -kcic M K C-OYY \ J • Final Plat Amendment • Sketch ■ Preliminary ❑ Final ff- 2' Physical/Street Address: 2 03 )4toti (0I 4- 21.'C"U-i Cs � 620 I Q Legal Description: S€C%o� I0. 176 La, Isin', pi T ,,,, _ 9'R N Tree(- DC Lc �) tp 0 Common Interest Community Subdivision Conservation Subdivision • Public/County Road Split Exemption ❑ Yield ■ Sketch ■ Preliminary ■ Final • Rural Land Development Exemption • Time Extension INVOLVED PARTIES Owner/Applicant Name: Ki`D COS(-axvWi LLC Phone: (910 ) 375-d777 Mailing Address: 7.5 _ / (p 311 1) �1<0t City: ,�nSk,cx State: M Zip Code: SrI tjc;-c� E-mail: airfkoce.m.sn 4 cAtynn Representative (Authorization Required) Name: t C,t,iCSR._ 1 ctoui° Q.. Phone:(9IO) (re dJ-act u \r©_c!' eivv _ Mailing Address: it -BD Y 1kccs j / City: . -c-C.� State: co Zip Code: 0 p1 50 r E-mail: Thcx is R. ® ` k t arch -kcic M K C-OYY \ J PROJECT NAME AND LOCATION Project Name: kip Cosi- ,v\3n, LA—C...kh.i,�n c Csl�.ig3u ()1, € t��ei;VIA ;�, Assessor's Parcel Number: .)/ 7 7 I a a- 0 0- t 9 L/ ff- 2' Physical/Street Address: 2 03 )4toti (0I 4- 21.'C"U-i Cs � 620 I Q Legal Description: S€C%o� I0. 176 La, Isin', pi T ,,,, _ 9'R N Tree(- DC Lc �) tp In I/zsvw ) 2 Zone District: CO-rnrv\QA ac 0 9 ncv`Q,rit / Property Size (acres): , d Project Description Existing Use: ji, sc-.3 am.eia- (M -Ht 2 BudinhGjJr .Pacit emsiSfivi, DP 5 Do o 0 , aced -Enc bile- imus%1ai00[ -d1 pai /L;nq , yardpla2._ . Proposed Use (From Use Description of Project: Table 3-403): /mGetrS { %-iQ/ Proposed Development Area Land Use Type # of Lots # of Units Acreage Parking Single Family Duplex Multi -Family Commercial Industrial a (0,3S v Q s 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 statrients above and have provided the required attached information which is correct ar}d ccu f /to ie best of my knowledge. /IL ti/ /2ij) /I i.cstyere— ture of Property Oe Date i OFFICIAL USE ONLY File Number: Fee Paid: $