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HomeMy WebLinkAbout3481 GARFIELD COUNTY ow APPLICATION FOR BUILDING PERMIT / r ci PERMIT NUMBER �ry please print or type DATE /4/0 77r7 • B ©4' (sa a� k ct TO BE FILLED OUT BY APPLICANT PLOT PLAN ADDRESS n c , a„P „3_1.. ) - 1.?;LIt (7, NOTE: Show easements, property line dimensions, SUBDIVISION 4 all other structures, specify north, and street FILING # 4 , 9 0 LOT # BLOCK # name. For odd shaped lots, or if space is w • TAX SCHEDULE # 3 too small, provide separate plot plan. LEGAL (SEC /TWN /RNG) 4 S/7 S gn, 42 L!!, # OF BUILDINGS NOW ON PARCEL --2,- USE OF BUILDINGS NOW ON PARCEL J. i ad NAME _ •r*nffialr p MAILING AD RE S ,9 a , V CITY: 2Iv . 'HONE 446- .5g'P NAME a4. _ 2A_A.s __ _ o ADDRESS s y /! CITY a NAME .� An i - L. c u.A s G ADDRESS ./x O,tip E CITY 8 PHONE LICENSE # V CLASS OF WORK NEW ALTERATION ADDITION 1p. DEMOLISH REPAIR MOVE MOBILE HOME (make /model) /,L / , S.F. OF BUILDING ,¢30 S.F. OF LOT r *C # OF FLOORS f HEIGHT vc- / 2-/ # OF FAMILY UNITS S ? # OF BEDROOMS ..,.,. INTENDED USE OF BUILDING 111 3 L �n v.. GARAGE: SINGLE DBL CARPORT: SINGLE DEL FRONT PROPERTY LINE FIREPLACE /v l - S4t .y�C' \ $ eAIJ DOCUMENTS ATTACHED STREET NAME /ROAD NUMBER Uj Cer)4' (,P, e 7 4 5 WATER SUPPLY fi e l CHECK IF CORNER LOT DRIVEWAY PERMIT e-/C`gfsh DESCRI'TION OF WORK PLANNED ,l 09,7-C,012 SITE PLAN t- I � -. 1 „ *f4 If.O Ai V C SL. to Iii tUc i_ � BUILDING PLANS ) 94:11-44 V SANITARY SEWER CLEARANCE ,,,._ —, ereby acknowledge that I have read this ON SITE SEWAGE DISPOSAL PERMIT _,C,y /tf it j application and the above is correct and I OTHER DOCUMENTS (specify) _ agree to comply with all county ordinances and state laws regulating building construction if .."91.' SC:0- -0- n or , AY fog eve& S N TUNE gu FOR OFFICE USE .ONLY VALUATION M CP 7p 0. 0 0 FLOOD HAZARD PERMIT FEE $ 6, y , 0PLAN CHECK FEE $ 4- 0,4C7 CERTIFIED BLDG ELEVATION TOTAL FEE $ /03.10 SCHOOL IMPACT FEE $ /(/A SPECIAL CONDITIONS DATE PERMIT ISSUED ZONING DISTRICT 4../,47 U PROBLEMS WITH PERMIT TYPE OF OCCUPANCY << !!4r 3 TYPE OF CONSTRUCTION tu /t/ ADDITIONAL INFORMATION NEEDED S.F. OF BUILDING /62 ddth S.F. OF LOT 4 1c etc MAX. HEIGHT -"-- ROAD CLASS,.--- CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR SETBACKS FROM PROPERTY LINE: FRONT %g //,.-_ 3 OR ENGINEER . REAR RIGHT LEFT OFF STREET PARKING SPACES REQUIRED � Mie ' )) _,1 - .-�- 0 v / / APPROVED: r7 ,�, i, rte' .� .7 WILDING DEPARTMENT ' OAT PLANNING DEPARTMENT ATE