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GARFIELD COUNTY
1 APPLICATION FOR BUILDING PERMIT 371 7 q �
PERMIT NUMBER /
please print or type DATE /p / 42f49
TO BE FILLED OUT BY APPLICANT PLOT PLANK
ADDRESS 470 Gp (l d_ 1C2/ NOTE: Show easements, property line dimensions,
SUBDIVISION all other structures, specify north, and street
FILING # LOT # BLOCK If name. For odd shaped lots, or if space is
I-4 TAX SCHEDULE # Q 1 00: TaI93 ..tr3rma -W )too small, provide separate plot plan.
LEGAL (SEC /TWN /RNG) fir - - P9 # OF BUILDINGS NOW ON PARCEL a
-
NAME efflir USE OF BUILDINGS NOW ON PARCEL f R ,r
es,Aasst,.
g MAILING ADDRESS I A p, C. . f / !MT p'o ee. net's /Kt'
CITY a - PHONE 04,54.01Urs7
% a , NAME
i ADDRESS CITY
w NAME
N x
ADDRESS w
E CITY <' - ,
g PHONE LICENSE #
u
CLASS OF WORK
NEW )( ALTERATION _ ADDITION
DEMOLISH REPAIR MOVE
MOBILE HOME (make /model)l , j - 2„ R / / r A
S.F. OF BUILDING / S.F. OF LOT /0344
# OF FLOORS / HEIGHT /2 t
# OF FAMILY UNITS / # OF BEDROOMS ,3
INTENDED USE OF BUILDING F/ry br y- e Nµ a ery D 4
GA SINGLE DBL CARPOR INGLE DBL FRONT PROPERTY LINE
DOCUMENTS ATTACHED _ STREET NAME /ROAD NUMBE
WATER SUPPLY ,./ /1 CFI I $ tin") CHECK IF CORNER LOT
DRIVEWAY PERMIT tX13 t 1 V DESCRIPTION OF WORK PLANNED
SITE PLAN L- VV
BUILDING PLANS /l/A--
SANITARY SEWER CLEARANCE L A g I hereby acknowledge that I have read,this
ON SITE SEWAGE DISPOSAL PERMIT • J' fl application and the above is correct and I .
OTHER DOCUMENTS (specify) tA'a!ir agree to comply with all county ordinances
L'' /r .,,,," and state laws regulating building construction,
�f -wv f_ dwass,
S NATUR
FOR OFFICE USE ONLY
VALUATION FLOOD HAZARD
PERMIT FEE $3 e,Q 0 PLAN CHECK FEE $ N CERTIFIED BLDG ELEVATION oo
TOTAL FEE $ 4/4 SCHOOL IMPACT FEE $ N/ SP CIA±, CONDITIONS (Ad Aa,ia,,A b4 L
DATE PERMIT ISSUED ytr A•2,/4/ ptie -40 '
ZONING DISTRICT / /j. /.4 l] PROBLEMS .WITH PERMIT
TYPE OF OCCUPANCY < /�--
TYPE OF CONSTRUCTION J Lel a /' n e- _ ADDITIONAL INFORMATION NEEDED
a4�
S.F. OF BUILDING S.F. OF LOT /01 424,
MAX. HEIGHT m /4.' ROAD CLASS. CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
SETBACKS FROM PROPERTY LINE: FRONT L— o f OR ENGINEER
REAR RIGHT LEFT
OFF STREET PARKING SPACES REQUIRED .------^
APPROVED: f / � .. ,„<„ . 6 l� APPROVED: �� AP /Y /¢g "
' Y 1 � • ART -N Or Da-ft PLANNI G DEPARTMENT PAT