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GARFIELD COUNTY DEPARTMENT OF DEVELOPMENT
BUILDING DIVISION
3rd Floor, Courthouse
100 8th Street
Glenwood Springs, Colorado 81601
(309)945 -8212
Job Address - 1 ' •a .,- .. .,• ..••• • .. - •. . 2 .1
Nature of Work htti1E9inq prm1
Use of Building retaining walls only - 2 - 246 Beet
Owner George woke
Contractor IvkOOre CUnstr11Ct1Gn
Amount of Permit: $ 104 Date: June 6, 1986
no plan check fee
Patricia .Tones
Clerk
White - Trees.
Canary - Office
Pink - Applicant
Gold - Du plicate
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GARFIELD COUNTY [[�-�
• APPLICATION FOR BUILDING PERMIT PERMIT NUMBER �(lt/
please print or type DATE 6 - 626
TO BE FILLED OUT BY APPLICAN . PLOT PLAN
ADDRESS d ap _ flaw. [lr NOTE: Show easements, property line dimensions,
SUBDIVISION • getini/r(C Wi r all other structures, specify north, and street
6 FILING # LOT # BLOCK # 4 name. For odd shaped lots, or if space is
o
w TAX SCHEDULE # too small, provide separate plot plan.
F7 LEGAL (SEC/TWN/RNG) # OF BUILDINGS NOW ON PARCEL
NAME - USE OF BUILDINGS NOW ON .PARCEL
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w MAILING ADDRE '
o CITY PHONE
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NAME !l agat kSSF k r/
e ADDRESS 1 ryh r CITY —
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NAM .P�rr e_.
8 ADDRESS ^y/
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CITY _cN
PHONE ( 971.-, LICENSE #
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/ CLASS OF WORK
NEW V ALTERATION _ ADDITION —
DEMOLISH REPAIR MOVE
MOBILE HOME (make /model)
S.F. OF BUILDING S.F. OF LOT m,
# OF FLOORS HEIGHT 4�
# OF FAMILY UNITS # OF BEDPJOMS
INTENDED USE OF BUILDING
GARAGE: SINGLE DEL CARPORT: SINGLE DBL FRONT PROPERTY LINE
FIREPLACE 1
DOCUMENTS ATTACHED STREET NAP9E /ROAD NUMBER 1614 ( P f ..I p J l�/-'4
WATER SUPPLY CHECK IF CORNER LOT
SI PAAYN JfCL -
PERMIT Vial TI0 :O�y WORK PLAN _ 1 J
BUILDING PLANS �� ,dl^
SANITARY SEWER CLEARANCE I hereby acknowledge that I have read this
ON SITE SEWAGE DISPOSAL PERMIT application and the above is correct and I
OTHER DOCUMENTS (specify) agree to ..mply with all county dinanCes
1 , an st, 4 -ws regul taw: ing nstruction
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FOR OFFICE USE ONLY
VALUATION ITODO @- FLOOD HAZARD
PERMIT FEE . PLAN CHECK FEE $ h/74 CERTIFIED BLDG ELEVATION
TOTAL FEE $ J�/' ,4• S RO I4PACT FE, $ Atm_ SPECIAL CONDITIONS
DATE PERMIT ISS ED ., i ; e
_
ZONING DISTRICT ATM Si PROBLEMS WITH PERMIT
TYPE OF OCCUPANCY AZ
TYPE OF CONSTRUCTION p ,(I,,,., jn ADDITIONAL INFORMATION NEEDED
S.F. OF BUILDIN A/r6 S.F. OF LOT Ir A
MAX. HEIGHT Xe /p ROAD CLASS. / CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
SETBACKS FROM P OPERTY LINE: FRONT OR ENGINEER
REAR RIGHT LEFT
OFF STREET PARKING SPACES REQUIRED
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APPROVED: �, ,.�/ i d /./, r . � /[ � 1 i I APPROVED:
Bide, D•PARTME ( A PLANNING DEPARTMENT DATE