HomeMy WebLinkAbout01.0 ApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-countv.com
LAND USE CHANGE PERMIT
APPLICATION FORM
TYPE OF APPLICATION
Administrative Review
)( Development in 100 -Year Floodplain
Limited Impact Review
Development in 100 -Year Floodplain Variance
Major Impact Review
Code Text Amendment
Amendments to an Approved LUCP
LIR MIR SUP
Rezoning
Zone District PUD PUD Amendment
Minor Temporary Housing Facility
Administrative Interpretation
Vacation of a County Road/Public ROW
Appeal of Administrative Interpretation
Location and Extent Review
Areas and Activities of State Interest
Comprehensive Plan Amendment;
Accommodation Pursuant to Fair Housing Act
Pipeline Development
Variance
Time Extension (also check type of original application)
INVOLVED PARTIES
Owner/Applicant
Name: E LA M C co, -)S re Lt_ C :3-0 /,..) Phone: (Cf7o ) .2 U 2. - ,c,:3 7o
Mailing Address: ....5--,c6. S'7-4t4..7/-iZ'P S A0 C
City: C/LA rv0 ,Ju.;• -/c --1, 'of,...) State: (',O Zip Code: et, O 1
E-mail: , r� , t 0 - (Pi ce ,./,4,,,, Cd„„s-,,2 c'C e 7_, c' i V , re. /y1
Representative (Authorization Required)
Name: .31:PA. pooc9ci Phone: (477e ) 7/2 -6636/
Mailing Address: „C. 6 S •r2 "r// 1 .C',S• A v
City: C. g O - L.c vc 7. a hi State: (o Zip Code: S i ,c6 1
ro . C,,-,
g- E /4 �,r.,e1cc•-, oo.
E-mail: j ,' n-•, LIP - do. fn. "vv,
PROJECT NAME AND LOCATION
Project Name:
S MTL G RAiN>Cli Cgri L Prj"
Assessor's Parcel Number: a ) (j 41 - .3 1 L.) - D O - ) .3 e'
Physical/Street Address: S o (....--774 a c c'- 0. 3 coSA / ,S11-1 C)
Legal Description: Sg_,, E)l I -t -r t3 -r i A c MIL c P I T (IQ G) Anpt a4Y.oN
To DfZMS, (1,-�1 Lc_—icl (6 /41%-•o ASSc5c%:-TgS) PLLC
Zone District: R LA it /4 L Property Size (acres): /30 , s -eV
PROJECT DESCRIPTION
Existing Use: IQ A.0c .L4.:1.-1,0
Proposed Use (From Use Table 3-403): �1
— / 00 j ? - fCUO
Description of Project: S b r ykii
/
4- 0 F l oon P /4 me
,a ILO L 5"..s --i
S PA,i L F P Arc i-( ( A'-)
1 r''i7'. 13,2i Pr10i co
b ci
Rd 11A,,.1 cr,,,.sc., 1 t >-, fi
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REQUEST FOR WAIVERS
Submission Requirements
0 The Applicant requesting a Waiver of Submission Requirements per Section 4-202. List:
Section:
Section:
Section:
Section:
Waiver of Standards
0 The Applicant is requesting a Waiver of Standards per Section 4-118. List:
Section: Section:
Section: Section:
have read the statements above and have provided the required attached information which is
correct and accurate to the best of my knowledge.
Signator of Property-Owrrer or Authorized Representative, Title Date
/ t7 •' /6" - ' U ! y
OFFICIAL USE ONLY
File Number: -
Fee Paid: $