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HomeMy WebLinkAbout1.0 ApplicationGarfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield•county.com 02.kvt-D t .5 • ta� LAND USE CHANGE PERMIT APPLICATION FORM TYPE OF APPLICATION Lf Administrative Review • Development in 100 -Year Floodplain © Limited Impact Review 0 Development in 100 -Year Floodplain Variance • Major Impact Review • Code Text Amendment ■ Amendments to an Approved LUCP ■ Rezoning ❑ LIR 0 MIR • SUP • Zone DistrictO PUD ■ PUD Amendment ❑ Minor Temporary Housing Facility 0 Administrative Interpretation 0 Vacation of a County Road/Public ROW 0 Appeal of Administrative interpretation ❑ Location and Extent Review 0 Areas and Activities of State Interest ❑ Comprehensive Plan Amendment 0 Accommodation Pursuant to Fair Housing Act ❑ Pipeline Development ■ Variance 0 Time Extension (also check type of original application) INVOLVED PARTIES Owner/Applicant Name: )frMtc trjHT SitAA .`kvat.A-rz 112 -44 -111 -11111X -Phone: (1(%1 ) 9%1 . 3111 Malting Address: 227 t -[0-#'b t , c.,-6* City: mart- State: Lo Zip Code: elkal E-mail: # eLrerrc 4 it -Weft -1112445 • C.Drl Representative (Authorization Required) Name: (, SEGrt-Or-STUnt'DiekeCJ'(Ii%L-1. Phone:( crit ) 92O.94Zz Mailing Address: (apt i2.° c Z- 41 FLS %*- • (at -i d City: P i' 9 State: C.O Zip Code: 'el Loll E-mail: iDay e n1mpeh .L icucm . NET' PROJECT NAME AND LOCATION Project Name: -A-u.E cv 1 Lw.INti Vt tr (2u) Assessor's Parcel Number: - 3 1 3 - I `t) - b & _./3__1_ .9_ Physical/Street Address: 7!- c.,'T . f1NN13,4e. rfl:' - -t (2-0 . Legal Description: 1.0'r °i WE 11-M v . 1i 3 I?a4R FfiR-t.( S�✓blWs113t.4 err CNt.rr*1 U -ID. MO fl 1Lox%NkPCiy gIris1. tri v. INN dI- CrNz$wDA-L.F' Zone District: Q..O, Q -AT ct"lovii., HEpurt'HlC(I{Property Size (acres): M.7 Ip 1 Ateer. PROJECT DESCRIPTION Existing Use: 17tSIDV•srrAti. -c- t.i✓ FAr-iluq Use ACI - t0--4 -L tti.71'rOgb1/43) Proposed (From Use Table 3-403): DNA A.11%9 Description of Project: Iltlq pYLb V40 >q -17U IS cakt Y EP MIT % N0 0•117 bF 11AF u5N- Wt -t l(N '1i-tVf Ctei k o i3UD-PI I✓NVIl- De1v' it. MIMED StleA,Ivt o-1 dF ST. rrt+•mbeiv . . 11-kt ( tyz-NINIci M t% 4-1As 71/410190 "12 1?d op _ t14 r 5 F.4f11 INU..0 CIN9 112 -of 1a AP'J •/toms. r REQUEST FOR WAIVERS Submission Requirements IY The Applicant requesting a Waiver of Submission Requirements per Section 4-202. List: Section: et SAS Section: Section:% » '`�R 4 ic. �T13 Section: Waiver of Standards 0 The Applicant is requesting a Waiver of Standards per Section 4-118. List: Section: Section: Section: Section: 1 have read the statements above and have provided the required attached information which is correct and accurate to the best of my knowledge. Signatur Property Owner Date OFFICIAL USE ONLY File Number• Fee Paid: $