HomeMy WebLinkAbout1.0 Application
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  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: ________________________________________________ Phone: (______)_________________
Mailing Address: ______________________________________________________________________
City: _______________________________________ State: _______ Zip Code: ____________________
E-mail:_______________________________________________________________________________
Representative (Authorization Required)
Name: ________________________________________________ Phone: (______)_________________
Mailing Address: ______________________________________________________________________
City: _______________________________________ State: _______ Zip Code: ____________________
E-mail:_______________________________________________________________________________
PROJECT NAME AND LOCATION
Project Name:
_____________________________________________________________________________________
Assessor’s Parcel Number: ___ ___ ___ ___ - ___ ___ ___ - ___ ___ - ___ ___ ___
Physical/Street Address: ________________________________________________________________
Legal Description: ______________________________________________________________________
_____________________________________________________________________________________
Zone District: ___________________________________ Property Size (acres): __________________