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04870
GARFIELD COUNTY
BUILDING, SANITATION and PLANNING DEPARTMENT
109 8th Street Suite 303
Glenwood Springs, Colorado 81601
(303) 945 -8212
0665 County Road 216, Silt
Job Address
Nature ofWork Building Permit
Use of Building Single Family Dwelling Unit
Owner Leonard & Narie Davis
Cc itractor Owner
An,ount of Permit: $ 1,239.15 Date: August 23. 1999
Permit: 781.30
Plan : 507.85
S. Archuleta
Clerk
White - Treas.
Canary - Office
Pink - Applicant
Gold - Duplicate
r u , �, GARFIELI) COUNTY
E I; ' i L ry 1993 93
A L J APPLICATION FOR BUILDING PERMIT
'! ° PERMIT NUMBER fif7 t
`n�l�r. { Cy�r(ti F
lease print or type 67,3-5:73
Assessor s Parcel I! I I DATE /
TO L3E. FILLED -OUT BY APPLLCAN'C PLOT PLAN
ADDRESS 4 / < — --.i /L -)- NOTE: Show easements,
property line dimension
, SUBDIVISION all other structures, specify north, and stre4
FILING H LOT II BLOCK N name- For orid shaped Lots, or if space is
W TAX SCHEDULE N too small, provide separate plot plan.
LEGAL (SEC /TWN /RNG) M OF BUILDINGS NOW ON PARCEL
W NAME .0 a �I - i i S USE OF BUILDINGS NOW ON PARCEL
r MAILING ADDRESS FOX. >T
7'
o CITY � ,L. S/ „s, PRONE gIi ''' z /
3: , NAME
e w ADDRESS CITY /
f �� K NAME LIN.C�vou� *97 T /.$' 7/1
t ADDRESS ;
rl CITY z ,
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o P HONE LICENSE l! ��� JDD 7
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CLASS O)' FORK i ' ,
VEW ALTERATION ADDITION
DEMOLISH REPAIR MOVE
'IODIL,E (HOME (make /model) -- — ---&7-----,
:
S.F. OP BUILDING _ S.F. OF LOT i �
N OF FLOORS /-- �n-C� HEIGHT C J� O.� /JI BS !J' S C /- S/( =[-C(i
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II OF FAMILY UNITS 1. r
OF BEDROOMS ReCQ I41 IC, C 0 i nil- V[EP -34=
EDROOMS tr parrtod S' 04.4'.2 �I ��
INTENDED USE OF BUILDING 1 ' pp
GARAGE: SINGLE DBL x CARPORT: SINGLE DBL O z/� ' _
FIREPLACE yt.� — FRFRONT NT PROPERTY LINE // DOCUMENTS ATTACHED STREET NAME /ROAD NUMBER 0` 4(S - 9/6 e .
WATER SUPPLY 6)4et4_ CHECK IF CORNER LOT
DRIVEWAY PERMIT .KIST /N4 D,Q, DESCRIPTION OF' WORK PLANNED
SITE PLAN
BUILDING PLANS
SANITARY SEWER CLEARANCE I hereby acknowledge that I have read this
ON SITE SEWAGE DISPOSAL PERMIT LIS 4, application and the above is correct and I
OTHER DOCUMENTS (specify) r agree to comply with all county ordinances
...X eo,eli > i r.- 0✓ /7-/,„( /r7�,i7, and state laws - •ulating building constructer
f - c'Vlleav'
SIGNATURE
A/ FOR OFFICE USE ONLY
VALUATIOt / t9 5/,5•/y FLOOD HAZARD
PERMIT FEE $ `J, = ,;'OPLAN CHECK FEE: $30'7. .S CERTIFIED BLDG ELEVATION
TOTAL FEE $ /2 /s SCHOOL IMPACT FEE $ 200. SPECIAL CONDITIONS
DATE PERMIT ISSUED
ZONING DISTRICT PROBLEMS WITH PERMIT
TYPE OF OCCUPANCY R -. , /1-1
TYPE OP CONSTRUCTIONT- w' ADDITIONAL INFORMATION NEEDED
S.F. OF BUILDING 35>'30 S.F. OP LOT
MAX. IIEIGIITQ.Ic rono„nr) .247/4 CLASS. CERTIFIED BY COLORADO REGISTERED LAND SURVEYOI
SETBACKS FROM PROPERTY LINE: FRONT .70o' -1 OR ENGINEER
REAR 25' 1- RIGHT /CO`q- LEVI' /Aa' 7-
OFF STREET PARKING SPACES REQUIRED
- air •
AFPRavED: _ r - 1=. . , k' ,: - c.Z4/ .1 APPROVED: dip
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