HomeMy WebLinkAbout02. Administrative Application - DuplexGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-county.com
LAND USE CHANGE PERMIT
APPLICATION FORM
TYPE OF APPLICATION
✓ Administrative Review
0 Development in 100-Year Floodplain
❑Limited Impact Review
0 Development in 100-Year Floodplain Variance
❑Major Impact Review
I♦ Code Text Amendment
❑Amendments to an A roved LUCP
❑ Rezoning
IN LIR EMIR SUP
❑Zone District ❑PUD PUD Amendment
'Minor Temporary Housing Facility
Administrative Interpretation
❑Vacation of a County Road/Public ROW
nAppeal of Administrative Interpretation
Location and Extent Review
nAreas and Activities of State Interest
Comprehensive Plan Amendment'
nAccommodation Pursuant to Fair Housing Act
❑Pipeline Development
❑Variance
❑Time Extension (also check type of original application)
INVOLVED PARTIES
Owner/Applicant
Name: RFLANDCO, LLC Phone: (970 379-3244
Mailing Address: 402 Park Ave, Unit A
City: Basalt State: CO Zip Code: 81621
E-mail: Jack@albright-associates.com
Representative (Authorization Required)
Name: Jack Albright Phone: (970 379-3244
Mailing Address: 402 Park Ave, Unit A
City: Basalt State: CO Zip Code: 81621
E-mail: jack@albright-associates.com
PROJECT NAME AND LOCATION
Project Name:
RFLANDCO, LLC 2391-321-00-043
Assessor's Parcel Number:
Physical/Street Address: 17352 HWY 82
Legal Description:
Zone District: Property Size (acres): 2.9
PROJECT DESCRIPTION
Existing Use: Rural single family Residential with ADU
Proposed Use (From Use Table 3-403): Duplex with Professional office below
Description of Project: Remodel/Renovation
For Appeal of Administrative Interpretation please include:
1. The Decision you are appealing.
2. The date the Decision was sent as specified in the notice (date mailed).
3. The nature of the decision and the specified ground for appeal. Please cite specific code sections
and/or relevant documentation to support your request.
4. The appropriate appeal fee of $250.00.
5. Please note a completed Appeal Application and fees must be received within 30 calendar days
of the date of the final written Administrative Interpretation.
REQUEST FOR WAIVERS
Submission Requirements
❑ The Applicant requesting a Waiver of Submission Requirements per Section 4-202. List:
Section: Section:
Section: Section:
Waiver of Standards
Cl The Applicant is requesting a Waiver of Standards per Section 4-118. List:
Section: Section:
Section: Section:
I have read the statements above and have provided the required attached information which is
correct and ac urate t the best of my knowledge.
nature of Prope
'i•OFFICIAL USE ONLY
File Number:
r or A orized Representative, Title Date
Fee Paid: $