HomeMy WebLinkAbout1.00 Application Form & Property DescriptionGørfield County
IAND USE CHANGE PERMIT
APPLICATION FORMCommunity Development Department
t08 8* Street, Suite ¿l{tl
Glenwood Springs, CO 81601
(e70) 94s-8212
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INVOLVED PARTIES
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TYPE OFAPPTICATION
- É l¿r¡n¡strative Review tl Location and Extent Review
EI Limited lmpact Review EI Development in 1.00-Year Floodplain
tr Major I Review tr Designation of Flood Fringe/Floodway
EI Amendments to an ApProved LUCP
fl un fiurn fl sup
tl Rezoning
fl zone DisrictEl PUD fl PUD Amendment
E MinorTem ra H Facility tr ULUR Text Amendment
tr Vacation of a County Road/Public ROW tr Appeal of Administrative lnterpretation
tr Pipeline Development tr L04l Regulations
tr Comprehensive Plan Amendment
fl rvra¡o. flrvlinot
E Variance
tl Time extension
Cau
Phone:
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state: (¿ 0 zipco¿.t e t6 A3
Owner/Applicant
Name:
Mailing Address:
E-mail
City:
Name:
Mailing Address:
E-mail:
State: _ Zip Code:City:
Phone: { )
Representative (Authorization Requiredl
eu
Propertysize(acres): 6 7 (L(- lí-r-sZone District:
oo
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I
,.7-3 v fee t
Assessol's Parcel Number:L Lq_3_ -t-L-Z.
Physical/Street Address:
PROJECT NAME AND TOCATION
Project Name:
Legal Descri &
?\r,bc.,4". kMhÅ"Å V'4fi W'-þAcn
LExisting Use:
Proposed Use (From Use Table 3-503f :¡
Description of Proiect:Dl^ ir 1-¿ h,tt lh.^-n .^,t^r-,t?tt^A n*þ",ìÅ r Å in a t^{¡rørfin
Waiver of Submission Requirements per Section 4-202. List:E ttre Applicant requesting
Submission Requirements
Section
Section:
Section:
Waiver of Standards
tr The Applicant is requesting a Waiver of Standards per Section 4-117. 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 Propefi Date
I
FireNumbe*bPf?A-[ q9|
Fee Paid: $
ACCOUNT # R083662
PARCEL # 239312300300
TAX DISTRICT: 011
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REAL PROPERTY
TAX NOTICE
2016 TAXES DUE IN 2017
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KARLA
www.
co 81602-1069
(970) 945-6382
TÁ¡(âUTT{ORITY tlill¡.l.tÉ1¡Y l,ll[LLÊ1tY,ægÞ¡T TAXAMOIrNÎ vAtuA:tl0N ÂcluAt-AS]SÉ¡S€Ð
GARFiELD COUNTY
GARFIELD COUNTY R&B
GARFIELD COUNTY . DHS
CARBONDALE & RURAL FIRE
BASALT WATËB CONSER
COLO RIVEB WATER CONS
SCHOOL D]STRICT FE.1
COLORADO MTN COLLEGE
GABFIELD COUNTY PUB LIB
1 2 .65500
0.00000
1 .00000I .48300
0.03900
0.25300
45.24500
3.99700
1 .00000
0.00000
0.00000
0.00000
0.00000
o.00000
0 .00000
0.00000
0.00000
0.00000
$8s8.89
$o. oo
$67. 87
$643.61
$2.65
$17. 17
$3,070.78
$271.28
$67. B7
TOTAL NET LEVY.> 73,6720A
LATE FILTNG FEE/ADMIN FEE
SP EC I AL A-CS ESS[4=I']T
SEN IOR /VETERAN EXEMPTION
GRAND TOTAL
$5,000. I 2
$0
OU
00
00$0
$5,000. 1 2
I B ?! - in absence of Srate Legistative
Funding, your School General ñlill Levywould have been 49.2960
NET TOTAL $561,s00 $67,870
NO¡tm -
lcRs 39-3-203)A property tax exemption is available to senior citizens,
surviving spouses of senior citizens, and disabled vêterans.
9eniof Eremotion For an application, please contact the
Garfield County Assessor's Office at 970-0¿5-919¿ or
assessor@garf ield-countv.com.
Disabled Veteran Exemótion Application forms are availablefrom the Colorado Division of Veterans Afiairs at
vets.dmva.state.co.us or by calling 303-284-6077.
PROPERWTÐ( DEFERRAI-S
(cRs 3e-3.S102)
Seniorc and Active Militarv For an applicalion, please contact
the Gadield County Treasurer's Office at 970-945-6082.
DO VOU OWE TELINQUENTTAXES?
QUå Tow n Ran s
1TRBEGATTHE1l
RS
4 coR MMON s EC 2 &I J
AKA ARC E L A,
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F I T AMEN D MENT TO SM TH EX EMPT I ON
BCE #42 1 7 EXC E PT A T RACT 0 E LAND CONT 1
AC. +/ -
672675
AS DESCR I BE I N E ED 0 TRUST R EA #
SIÏUS ADDRESS: 103 COUNTY RD,CBYSTAL SPRINGS RD
No
,, àIY-*¡Eñrf Þ.UËDAIË , Alì¡Ðixrif '
FIRST HALF
SECOND HALF
FULL PAYMENT
FEB 28,2017
JUNE 15,2017
APRIL 30, 2017
$2,500.06
$2,500.o6
$5,000.12
THIS IS TI.IE ONLY NOTTGE
THAT YOU WLL FECETI'E!
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R08ft662
JOHNSON, RANDALL L & PAMELA A
3059 COUNTY ROAD 103
CARBONDALE, CO 81623
Make Checks PryableTo:
GARFIELD COUNTY TREASURER
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Gørfield County
PAYMENT AGREEMENT FORM
IE U 'cou ) and Owner ("APPLICANT")?r. r rp \c. (, \ ,5o t,. hSó[Q
agree as follows:
1. The Applicant has submitted to the County an application for the following Project: .----.. ,l'Yoct lr TY
Þ5P
2. The Appliða
e¿ ¡ a-(eve-llJuå,",a cou nry Reso I utio nnt understands and agrees No 2014-60, as
amended, establishes a fee schedule for each type application, and the guidelines for the
administration of the fee structure.
3. The Applicant and the County agree that because of the size, nature or scope of the
proposed project, it is not possible at this time to ascertain the full extent of the costs
involved in processing the application. The Applicant agrees to make payment of the Base
Fee, established for the Project, and to thereafter permit additional costs to be billed to the
Applicant. The Applicant agrees to make additional payments upon notification by the
County, when they are necessary, as costs are incurred.
4. The Base Fee shall be in addition to and exclusive of any cost for publication or cost of
consulting service determined necessary by the Board of County Commissioners for the
consideration of an application or additional County staff time or expense not covered by
the Base Fee. lf actual recorded costs exceed the initial Base Fee, the Applicant shall pay
additional billings to the County to re¡mburse the County for the processing of the Project.
The Applicant acknowledges that all billing shall be paid prior to the final considerat¡on by
the County of any Land Use Change or Division of Land.
t hereby agree to pay allfees related to this application:
Billing contact eerson' 0o vvt e.Lo F o ln n.Se W Phone:
Billi ng Contact Address:
City:f rx r?t i.rJ."-l*'state:C¿l Zipcode: g f (23
Billing Contact Email:
Printed Name of Person Authorized to Sign:r.^J
(Date)