HomeMy WebLinkAbout1.00 ApplicationCommunity Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-county.com
DIVISIONS OF LAND
APPLICATION FORM
TYPE OF SUBDIVISION/EXEMPTION
Owner/Applicant y
Name: /ytpAc Re! 'r, k IC Phone: (72n) 2s7 -3Y3-5
Mailing Address:
City: State: L-(9 Zip Code:
ICI Minor Subdivision
Representative (Authorization Required)
Name: D 0-01d pitch 6 /co h Phone: ( / c�
7v) 3 5-5- f:30(
•
Preliminary Plan Amendment
Major Subdivision
PROJECT NAME AND LOCATION
a
Final Plat Amendment
❑ Sketch IXl Preliminary • Final
Legal Description: 2 O o<- I c it d a, F, VI rix J f9/ 4 -Mina ot/t.c.,. 24,4
4
0
Common Interest Community Subdivision
Conservation Subdivision
0
Public/County Road Split Exemption
• Yield • Sketch ■ Preliminary
•
Final
0
Rural Land Development Exemption
• Time Extension
INVOLVED PARTIES
Owner/Applicant y
Name: /ytpAc Re! 'r, k IC Phone: (72n) 2s7 -3Y3-5
Mailing Address:
City: State: L-(9 Zip Code:
E-mail:
Representative (Authorization Required)
Name: D 0-01d pitch 6 /co h Phone: ( / c�
7v) 3 5-5- f:30(
Mailing Address: (2 n .27 C(C 0.4 ,(- 4/ S'I C
!
City: / �f t� k) ccLS1 /(� State: co Zip Code: 8 it 97
E-mail: ,y 0l2 0•eyor to gogriS . /Ue
PROJECT NAME AND LOCATION
Project Name:
hit -dOc1 fl nU l P` lI^q- L(,9- j (rKd R Wlo luiv C
$ 2'N 5�
Assessor's Parcel Number: . 1 - - 3 & I - D l 00c
/]
Physical/Street Address: /I a6 d tra / PI 0L ,, rd a Rf 0 / (t%.e. g/4q
Legal Description: 2 O o<- I c it d a, F, VI rix J f9/ 4 -Mina ot/t.c.,. 24,4
4
( n/� (of
Zone District: g°8 r cLorylu 1 totalT • NU Ss a Ir{'roperty Size (acres): .4 Q
eitulf
Project Description
Existing Use: 70 ® SFA. I P -t r. en . 1 it ta s 1 of en errs
5 j
Proposed Use (From Use
Description of Project:
Table 3-403):
) 4 e m ua n t tc , S h. e_S -4- 0 @I't 0G- /Al
ettot'cite -HIc e1X-tS 5 t1' (c4/to Lr�nt1p
obi <e
% 1
h tr (c' /r94 u.o( R ' Jen, r.. oti Ito, Ct-Gl-nNLe
r
GO LI -6) 4 -Ci ,e b m.. k 4-6/0 (xnrk !bp/Zap.
Proposed Development Area
Land Use Type
if of Lots
if of Units
Acreage
Parking
Single Family
1 Lf 1
Y1oS
Duplex
e2
Multi -Family
Commercial
Industrial
Open Space
Other
Total
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
0 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 accarateto the best of my knowledge.
Signature
Owner
Date
OFFICIAL USE ONLY
File Number: -
Fee Paid: $