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Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
ls7ol945-82t2
www.garfield-countv.com
TYPE OF GRADING
tr MAJOR MINOR
GRADING PERMIT
APPLICATION
¡NVOLVED PARTIES
Phone:
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Property Owner:
Mailing Address:
EmailAddress:
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Phone:
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Contractor:
Mailing Address
EmailAddress:
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EmailAddress:
PhoneArchitect:
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EmailAddress:
Mailing Address:
Engineer:
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Job Address:
Assessol's Parcel Number
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PROJECT NAME AND LOCATION
Describe Work:
Project
8ooEarthwork (Cubic Yards) :Earthwork (square feet) :2500
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ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING
NOTICE
I hereby acknowledge that I have read and understand the Notice and Certification above as well as
have p rovided the required information which is correct and accurate to the best of knowledge.
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Property Owner Print and Sign Date
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Owner, must be provided with th¡s Application'
LeÊal Access. A Building perm¡t cannot be issued without proof of legal and adequate access to the property for
purposes of inspections by the Building Division'
Other permits. Multiple ,"prr.t" permits may be required: (1) State Electrical Permit, (2) County OWTS Permit,
tE) '*otfot permit required for use on the property identified above, e'g' State or County Highway/ Road Access or
a State Wastewater Discharge Permit.
Void permit. A Building permit becomes null and void if the work authorized is not commenced within 180 days of
tf" ¿.t" of issuance and if work is suspended or abandoned for a period of 180 days after commencement'
roperty,
Owner,
bfl aed orheescbove,drhofOwnermitStubepfonaBuidPermsignedbylnrsingapplicatioAuthoritv.theofaSEarateettebyuthoritysignedthatnotofehbelowaturetsparftheauthoanrizedsignagent.
CERT!FICATION
builder
County,
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P¡tÞ.t /zozz100.c.c. o?OFFICIAL USE ONLY
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Conditions:Specia rt?an€r4/
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Fees Paid
ôùFees:ioM¡sc Fees:
üoÒ0
Permit Fee:+t
Zoning:
C L
lssue Date:
2
Grading Perm¡t:
6RAÞ -zô5+Balance due:
+
BUILDING / PLANNING DIVISION
Signed Approval Date
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