HomeMy WebLinkAbout1.0 ApplicationGai field County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
LAND USE CHANGE PERMIT
APPLICATION FORM
TYPE OF APPLICATION
Administrative Review Development in 100 -Year Floodplain
=Limited Impact Review = Development in 100 -Year Floodplain Variance
=Major Impact Review 0 Code Text Amendment
[Amendments to an A roved LUCP 0 Rezoning
=LIR =MIR SUP =Zone Diistrict=PUD =PUD Amendment
=Minor Temporary Housing Facility nAdministrative Interpretation
=Vacation of a County Road/Public ROW =Appeal of Administrative Interpretation
=Location and Extent Review =Areas and Activities of State Interest
=Comprehensive Plan Amendment =Accommodation Pursuant to Fair Housing Act
=Pipeline Development =Variance
=Time Extension (also check type of original application)
INVOLVED PARTIES
Or/Applicant
Name•?uWicICQ Com con & ,�t�[OY & Phone: } 3,30• u551
Mailing Address: 1 ()QU 4..G1()11YU J[ i �7t�•'tUV O�
City: )P I�Vt' i State: Zip Code• b02-07-
E-mail: MCI4*tW. A. ( W ACA @ XUlp hexau C,avN
Representative (Authorization Required)
Name: htiVl�' u C66AS Phone: (-"Z® ) LVZ P • ?J45 •
Mailing Address: 92 B M Ca V-t1U n OC,1-��rr 4 OP
City: P n+eno i a` State: W Zip Code: _8 0 { 1 -7-
E-mail:
E-mail: (\kSdPdU Se �!1LarV1StMCd C0�1/1
PROJECT NAME AND LOCATION
Project Name: 1
Assessor's Parcel Number: I - � Z - �- 5
Pr l/Street Address: IL03 116 C,12 . Cl lf-OwQcd 5060%5, C`a 1 U01
Legal Description: .5e,cb on 5-5, { uwnsbi D P V-.Q_y qe- M�
Zone District: I&A V_Ct Property Size (acres): q14 9
PROJECT DESCRIPTION
Existing Use: D�wyn Land, irriaa�cc1 apav+yn lana, a�t, ya land
Proposed Use (From Use Table 3-403): vise hIJ i Kl 1 Gtble
Description of Project: +e.M(JCY'CGV%—t C.oY15ri1'Vc+iao 5-i-&6 VXq
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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
❑ The Applicant is requesting a Waiver of Standards per Section 4-118. List:
Section: Section:
Section: Section:
I have read the statements above and have provided the required attached information which is
correct and accurate to the best of my knowledge.
Carly Rowe
Digitally signed by Carly Rowe
Date: 2020.06.26 10:1618 -0600'
Signature of Propn�ner or Authorized Representative, Title
OFFICIAL USE ONLY
File Number: _ _ _ _ - _ _ _ _ Fee Paid: $
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Date