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HomeMy WebLinkAbout3942i GARFIELD COUNTY APPLICATION FOR BUILDING PERMIT PERMIT NUMBER Z please print or type DATE j /` TO BE FILLED OUT BY APPLICANT PLOT PLAN ADDRESS 0 $ 6 1 303 r c 7 NOTE: Show easements, property line dimensions, SUBDIVISION all other structures, specify north, and street FILING #LOT #BLOCK #name. For odd shaped lots, or it space is ow TAX SCHEDULE #too small, provide separate plot plan. LEGAL (SEC /TWN /RNG)OF BUILDINGS NOW ON PARCEL NAME -SU USE OF BUILDINGS NOW ON PARCEL MAILING ADDRESS n MEWS I J o CITY ; a h cv PHONE 2%'S I ; /9 GJci Q 4 +J 1 4, r- l '/' , rzrs 0 lei 5 x NAME S a r.0r m ADDRESS CITY Se x r C7 i c NAME 5 2 I .Q l V Ho A I g ADDRESS r a ro 0I I L h I CITY 1 : ti'h rv'tl 7 Lirck PHONE LICENSE #ChJ 1. CLASS OF WORK L r i J i f h 7 f /`1 I , to rLS NEW ALTERATION ADDITION r,/gt> +DEMOLISH REPAIR MOVE U / +SA 4 5 2-01 1 11. S! MOBILE HOME (make /model) S.F. OF BUILDING S.F, OF LOT C O Y d L/OF FLOORS HEIGHT J OF FAMILY UNITS OF BEDROOMS 0 O Y ,INTENDED USE OF BUILDING GARAGE: SINGLE DBL CARPORT: SINGLE DBL FRONT PROPERTY LINE FIREPLACE DOCUMENTS ATTACHED STREET NAME /ROAD NUMBER C75 361 WATER SUPPLY cc b T CHECK IF CORNER LOT _ DRIVEWAY PERMIT lc w ..DESCRIPTION 9 WORK PLANNED SITE PLAN A o r h ,., q e — a 2 47-0 d - u{fGt-PJ b4';.-1 GS 7 / mr P.X !'s r . BUILDING PLANS L ..-- J tc el-.oi yy fG! C!'7 e ) 0tn410H IVO07 SANITARY SEWER CLEARANCE Ali &I hereby ae'Icnowledge theft I have read this ON SITE SEWAGE DISPOSAL PERMIT V/application and the above is correct and I OTHER DOCUMENTS (specify)agree to comply with all county ordinances and state laws regulating building construction SIGNATURE 1 PPIN FOR OFFICE USE .ONLY VALUATION t c9-0 e © 0 FLOOD HAZARD PERMIT FEE $ 44-,5 1PLAN CHECK FEE $ 2 3.9 fl CERTIFIED BLDG ELEVATION TOTAL FEE 7,3,41, SCHOOL IMPACT FEE $SPECIAL CONDITIONS DATE PERMIT ISSUED ZONING DISTRICT 4 /R! R1]PROBLEMS WITH PERMIT TYPE OF OCCUPANCY Q .-.• TYPE OF CONSTRUCTION ADDITIONAL INFORMATION NEEDED S.F. OF BUILDING 00 rtc{ S.F. OF LOT MAX. HEIGHT M 2-49e ROAD CLASS.CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR wSETBACKSFROMPROPERTYLINE: FRONT j d ,q /J6 E OR ENGINEER REAR RIGHT LEFT OFF STREET PARKING SPACES REQUIRED i st APPROVE • + /Imo/ 0 APPROV a... sisals BUILDING DEPARTMENT or o.T PLANNING DEPART/DATE