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CIAlllPllLD COUNTY Dl!P"llll'MENT OF DEQLOPMINT
•UILDING DIVISION
3rd-.~
100 Ith Street
Ol•nwood Springe, Colorado 81601
(303) 1146-8212
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Job Address ___ J."-'--'i-'-'i~l_t\b __ l.;.lurne_:......:L<::.' m=ie'-----------------------------
Nalure of Work lJuiluinq Pennit
Use of Building _ __;i\cid=-"'i"'· t.;i.:.o~n~aioi:l-.!;Bedroa:l=·' =~·~· ...!to~"=J.::x~i~stin~· :.i:9:1...!l~lo~rr!;E;.._ _________________ _
Owner -----~~o .. se'""'p~l~l~An'Kl=:.==..:l::..:d::....:So::>::..:'~t::..:t:...-__________________________ _
Contractor ------=LeRo"'--'"y"-&'"~"""'"'"-u::.l::..d::.J.nq:;;;' """"-----------------------------
Amount of Permit: $ _4,,,_8,,_1=. 8,,_'0,,_ _______ _
White~ Tr"eas.
Canary -Office
Pink -Applicant
Gold -Duplicate
Date: ---=Au=-c ... :iu=st=...:2::..:6'-',-=l'-"9"'8"'6 ___________ _
.rpis L-r. But ZW)
•I · . ., ·' •"' I ....
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GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT
PERMIT NUMB! 33tJ/
DATE i <2.--K Lo please p,rint or type
TO BE FILLED OUT BY APPLICANT
--IADDRESS /556 /VO /L,,/C/MF I AIU£/
SUBDIVISION
LOT # FILING #----,--
TAX SCIIEDULE #
LEGAL (SEC/7'WN /RNG)
.fJI,OCK # ----
NEW ALTERATION X ADDITION 1/ ----__,_....,_,__ ---~--DEMOLISH REPAIR MOVE
MOBILE HOME (make/t'IOdel)
S .F. OF BUILDINGQpj)~ jJOO S .F .-··OF LOT _(Jl-'--<'--"'......,"I
# OF FLOORS I HEIGHT ~·~'.l=J. ____ _
# OF FAMILY UNITS # OF BEDROOMS
INTENDED USE OF BUILDING bedaoom iisto_O_.J_(_JE'_.I_
GARAGE: SINGLE DBL CARPORT: SINGLE DBLO
FIREPLACE
WATER SUPPLY .-::-:::-----f..fll<{Al.""~llf--t-------~
DRIVEWAY PERM.TT
SITE PLAN ----------t--------
BUILDING PT,ANS
SANITARY SEWJ::R CLEARANCE
ON SITF. SEWAGE DISPOSAL P~E~R~M~I~T,----,,.-:\"'-~
OTHER DOCUMENTS (specify)
S.F. OF BUILDIN S.F. OF LOT
MAX. HEIGHT .:J.!,/.' ROAD CLASS.
SETBACKS FR9M"'/>JfoPERTY LINE: FRONT J'.,ffJ $.
R1'"AR SI :t,. RIGHT /ttd/"t-. LEFT /44 }
OFF STREET PllRKLNG SPACES REQUIRED -------
APPROVED:
BU
PLOT PLAN
NOTE: Show easements, property line dimensions,
all other structures, specify north, and street
name. For odd shaped lots!' or if spiice is
too smal I,. prov.ide separate plot plan.
# OF BUILDINGS NOW ON PARCEL ---------
USE OF BUILDINGS NOW ON PARCEL
FRONT PROPERTY LINE~ STRE*~R!R; ¥uM~ S ~
CHECK IF CORNER WT
DF.SCRIPTION OF WORK PLANNED ---------
I hereby acknowledge tli"t I have re"d this
application and the above is correct and I
agree to compl~ wirh all county ordinances
and t~te laws · ding construction.
CF.RTIFIED BLDG ELEVATION
SPEC.TAI, CONDITIONS
PROBLEMS WITH PERMIT -----------~
ADDITIONAL INFORMATION NEEDED --------
CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
OR ENGINEER -----------------
iJ o p.,-"11\ flo..,ti'. f(p;;.i D rm-J....., )..,.,,Jl~
.1FF1'!8l"W~ /.)k_,,f 1fJ____
PLANNING DEPARTMENT DATE
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