HomeMy WebLinkAbout04.0 APPLICATION FORMFCGarfield County 1
Community 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
•
• Minor Subdivision
Preliminary Plan Amendment
Major Subdivision
D
Final Plat Amendment
• Sketch • Preliminary • Final
•
Common Interest Community Subdivision
Conservation Subdivision
•
Public/County Road Split Exemption
• Yield • Sketch • Preliminary
•
Final
•
Rural Land Development Exemption
• Time Extension
INVOLVED PARTIES
Owner/Applicant
Name: Arlene D. Bush Phone: ( 970 ) 361-1479
Mailing Address: 11193 W. Palmeras Drive
City: Sun City State: AZ Zip Code: 85373-1867
E-mail: NA
Representative (Authorization Required)
Name: Michael Langhorne PLS Phone: ( 970 ) 6251330
Mailing Address: 136 E. Third Street
City: Rifle State: CO Zip Code: 81650
E-mail: ml@bookcliffsurvey.com
PROJECT NAME AND LOCATION
Project Name:
Lot 1, Boruch Exemption, Final Plat Amendment
Assessor's Parcel Number: 2409 - 123 - 00 - 010
Physical/street Address: 8491 Highway 6 & 24 Parachute CO
Legal Description: Lots 1,2 & 3 of the Amended Boruch Exemption Reception #620603
Zone District: Resource Lands Property Size (acres): 83.648
Project Description
Existing Use:
Residental
Proposed Use (From Use Table 3-403): Dwelling Single Unit (per legal lot) ,
Description of Project: Final Amended Plat to legally merge parcels as shown on the attached review plat
Proposed Development Area
Land Use Type # of Lots # of Units
Acreage
Parking
Single Family 3
3
5.362, 4.145, 3.554
NA
Duplex
Multi -Family
Commercial
Industrial
i
Open Space
Other
Total
REQUEST FOR WAIVERS
Submission Requirements
0 The Applicant requesting a Waiver of Submission Requirements per Section 4-202. List:
Section: 4-203.K Improvements Agreement Section: 5-402.1 Codes, Covenants & Restrictions
Section: Section:
Waiver of Standards
71 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 accurate to the best of my knowledge.
Signature of Property Owner Date
(7t -,z)/'?
OFFICIAL USE ONLY
File Number: -
Fee Paid: $