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GAllFIEl-D COUNTY
BUil-DiNG, SANITATION and Pl.ANNING DEPARTMENT
109 Bl~ Street Suite 303
Glenwood Springs, Colorado 81601
(303) 945-8212
04028
NatureofWork ~-~".U..l.ti;l.l<l'~~llll~-----------------------------~
UseofBi.llkilr•_Q...__ Sir>g1t fur')jly 1~ei::;jd£;-.nc_e
Owner Sam ScQtt
Contractor _ _f>!fill~__:_~~---------------------------------
~--
Amount of Permit: $ -~5,__3,_,7_____.q.,_n'---------
l'errni.t 3'.26, 00
Pkm 211.90
Whiter Treas.
Canary -Office
Pink -Applicant
Gold~ Duplicate
Date: __ _Qo/__71-DtlL--------------
B. C_aywlQI
Clerk
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• GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT
•
~ TO BE FILLED OUT BY APPLICANT
~ADDRESS
SUBDIVIS-I-ON_L_B_!-!i_'_iC_B-~---15'~-------~
FI[,ING #35 J":f_S WT # 3 BWCK #
TllX SCHEDULE #
LEGAL (SEC/TWN/RNG) __________ _
NAME SA(l21, <5L 0 5 c;_,:,"'JT'
MAILING ADDRESS ~Bo.,,..,!c.......~£~6~2-"---~--,.-~~~--.--.,.-.
CITY S:L TI LO PHONE 8'26 ?2fl9 '
CLASS OF WORK
NEW )( ALTERATION ADDITION
DEMO-L-IS~H,.____ REPAIR ----MOVE ----
MOBILE HOME (make/model)
S .. F .. OF BUILDING /{<l't;. S .. F .. OF LOT -----# OF FLOORS~~ l'IWV" HEIGHT
# OF FAMILY UNITS # OF BE_D_R_O-OM-S-~3.------
INTENDED USE OF BUILDING _)"-\o._,,.,.,,~=<---"""-------
GARAGE: SINGLE_ DBL.)5. CARPORT: SINGLE_ DBL ~-
FIREPLACE --"''"'-'L-----------------
DOCUMENTS ATTACHED
WATER SUPPLY __ \~N~C~~~L....,,L~----------
DRIVEWAY PERMIT ----------------
SITE PLAN --+~~~-~$~-------------BUILDING PLANS V(-s SANITARY SEWER ~C~LE~A~R~A-N_C_E ____________ _
ON SITE SEWAGE DISPOSAL PERMIT -~)~f~C:-~S....__ ____ _
OTHER DOCUMENTS (specify)
TYPE OF OCCUPANCY ~b
TYPE OF CONSTRUCTION --o==:=..,,.V'~----'-/\/~-,------~
s .F -OF BUILDni3of4. -~ s .F -OF WT ----
MAX -HEIGHT '1-7;;::r ROAD CLASS. ,+"A---/
SETBACKS FROM PROPERTY LINE: FRONT;d.J/ ... ;t. J
REAR RIGHT LEFT -----OFF STREET PARKING SPACES REQUIRED -------
or type
NOTE: Show easements, property line dimensions,
all other structures, specify north, and street
name. For odd shaped lots, or i.f sp<1ce is
too small, provide separ<1te plot pl<1n.
# OF BUILDINGS NOW ON PARCEL --------
USE OF BUILDINGS NOW ON PARCEL -~--~~~-
STREET NAME/ROAD NUMBER CJ')'\'-" fu c3'7
CHECK IF CORNER WT ~
'-~~-~~-~----D ESCRI PT ION OF WORK PLANNED -~~-~~~-~
l\i.u,,, , \o a , a £....
I hereby acknowledge that I have read this
application and the above is correct and I
agree to comply with all county ordinances
and state laws regulating building construction.
SIGNATURE
PROBLEMS ~/ITH PERMIT
ADDITIONAL INFORHATION NEEDED ~~~~--~-
CERTIFIED BY COWRADO REGISTERED LAND SURVEYOR
OR ENGINEER -'--~~~-~-~~~-~~-~--,-
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n 1··.· ~._J_. c::1L.1LL, ,_ _1. 1 ; '.· Iii OCT 111990 l!:i:
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GAHFIELD COUl\ITY
FU~a2cJa £ ,... · . d!C?t /(), /'/'/()
ITEM DESCRIPTION~! ~f iUmfl12anJ.
ACCOUNT ii, j';f 3 -11 AMOUNT $ 47Lo. OD
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CfDING DEl'llRTMEN1· c -.? JA7'E" ' -
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