Loading...
HomeMy WebLinkAbout1.03 Zurcher Signed App & AuthorizationGarfield Coun Community Development Department 108 8v' Street, Suite 401 Glenwood Springs, CO 81601 (970)945-8212 www.garfield-county.com TYPE OF APPLICATION Administrative Review ct Review_ :Review ---� —_� Amendments to an Approved LUCP ❑ UR ❑MIR ❑ SUP _ Minor Temporary Housing Facility Vacation of a County Road/Public ROW Location and Extent ReviewT Comprehensive Plan Amendment Pipeline Development Time Extension (also check type of or LAND USE CHANGE PERMIT APPLICATION FORM ❑ Development in 100 -Year D Development in 100 -Year_ Floodplain Variance ❑ Code Text Amendment ❑ Rezoning ❑ Zone District[] PUD ❑ PUD Amendment ❑ Administrative Interpretation ❑ Appeal of Administrative Interpretation- ❑ Areas and Activities of State Interest __., ❑ Accommodation Pursuant to Fair Housing Act i ❑ Variance lication) INVOLVED PARTIES _--- Owner/Applicant Phone: fto Name: l Mailing Address: r: anS State:(Q_ZipCode: 8IQ471 City: E-mail: Representative (Authorization Required) Phone: ( iD } -'Won Name: Mailing Address: State: �_ 23p Cade: 16A P-1 City: E-mail: �untN PROJECT NAME AND LOCATION Project Name: LJ Assessor's Parcel Number: Er;- - —Ze AL2-i2� Physical/Street Address: pitta Legal Description: C,65iK r L:t Zone District: Property Size {acres}: �� Existing Use: Proposed Use (From Use Table 3-403); Description of Project: c 1 _REQUEST FOR WAIVERS i Submission Requirements — The Applicant requesting a Waiver of Submission Requirements per Section 4-202- List: Section: _ Section: Section: Section: - Waiver Waiver of Standards © The Applicant is requesting a Waiver of Standards per Section 4-118. List: Section: Section: Section: Section: a I have read the statements above and have provided the required attached information which is correct and accurate to the best of my knowledge. 4Signature of Property Owner Date j OFFICIAL USE ONLY File !Number:_--_ --__ Fee Paid:$ y April 27'x' 2016 I, Antonia Zurcher, give Bridger Smith the authority to sign off on all planning, zoning, and building permit matters related to my property at 4110 County Rd 243, including but not limited to the Accessory Dwelling Unit Administrative Land Use Permit Application r -I ob"-"