HomeMy WebLinkAbout01-Application formDCGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-counW.com
Exhibit
1
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
•
Rezoning
• LIR ❑MIR ❑ SUP
• 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 ap I lication
INVOLVED PARTIES
Owner/Applicant
Name: Karl Hanlon (Smiling Goat Ranch Phone: ( 970 )379-2199
Mailing Address: PO Box 3188
city: Glenwood Springs
E-mail: kjh@mountainlawfirm.com
State: CO Zip Code: 81602
Representative (Authorization Required)
Name: Phone: (
Mailing Address:
City: State: Zip Code:
E-mail:
PROJECT NAME AND LOCATION
Project Name:
Assessor's Parcel Number: 2 3 9 3. 3 5 42. 0 0 0 3 9
Physical/Street Address: 271 Willow Lane, Carbondale, CO 81623
Legal Description: Section: 35 Township: 7 Range: 88 TR IN LOT 12
3.41
Zone District: Property Size (acres):
PROJECT DESCRIPTION
Existing Use:
Proposed Use (From Use Table 3-403):
Description of Project:
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 accurto to the best of my knowledge.
gnature o rty Owner Da
OFFICIAL USE ONLY
File Number:
Fee Paid: $