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LDING PERMIT APPLICATION
GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
2014 Blake Avenue
Glenwood Springs, Colorado 81601
945 -8241 / 625 -3321
Garfield County, Colorado, OAL a 9 ,
Owner: -b A v/ L , 0 -,7 1'L
Contractor or Builder: Se
Location: 30 6 Ro! RAcko fir. Co /a .
Purpose for which building is to be used: p /tic a e a F �O6i /tome
Size of Lot: 4'0 AC2
Distance of building from property line at
Front: 300 / Rear: a 5 - 0 F1 Left Side: /4 0 Right Side: `v o 7L
Distance from nearest building: Number of stories: /
Source of water supply: Ek 15 f rn1 we( Number of rooms: 6
Type of sewage disposal: Ek/:(.711.4 ' S f'uJ e Type of foundation: 'eio' K S
Width of building: c Material in outside walls: /V e'
Length of building: 6 c/ Exterior finish: C. e c61 e_ P
Height of walls: Type of roof: 4 T �S / n I /e
Floor space in square feet:
Estimated value: $ 15c cxc
Date construction will begin: Date of completion:
Permit charge: $ C d
Plan check fee: $
TOTAL: $ 7 -- Y
And I /We hereby agree to build strictly to the terms of the above description, and also to clear the grounds and
adjacent street or streets of all rubbish and debris caused by the construction of said building.
Respectfully, , damf-r) 657 Zel7rA-
The County Commissioners hereby grant the above permit as per terms therein stated. This . V day o f
1 ,,� ,19
BUILDING OFFICIAL