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Home My WebLink About4017• • ' .. ·•·,•-r"V""1~-· .,., .. ..,_'""').'":"·" "! -~·(" GARFIELD COUNTY BUILDING, SANITATION and ~NNINQ DEPAi:tTMiNT 109 8th Street Sult• $13 Olen.•ood Sprl_, COio·· 81601 ' (383)' !Mii'8212 04017 JobAddress -=1=64=7=8~'=H=wy.;_8=2~~~-c~~=r=b:mda=-===-· l=·.,~· ~~~~~~~~~~~~~~~~~~~~~ Nature of Work ,. Amount of Permit: $ -"""~"'--------Permit Plan White -Treas. Canary -Office Pink-Applicant Gold -Duplicate 19.00 12.35 Date; B. caywooa Clerk GARFIELD COUNTY APPLICATION FOR BUILDING PERMIT PERMIT NUMBER ---~--~-- please print or type DATE -~'-""-9-.H--P'--'--- --•ADDRESS /(e 4 7J./ µ fi Z-,.,, ~ «: "' ~ -a " ~ ~ "' 0 .... " ~ 8 <.> SUBDIVISION ------::--::---;c--------..,,,..--~ FILING # LOT # BLOCK # TAX SCHEDULE # --------------LEGAL (SF:C/TWN/RNG) NAME MAILING ADDRE _/'-"'~"""'1-......C~..._,'1---..,,..."---'""--- CITY C..I\ fl b4')¥i&lf NAME ADDRESS NA/1E ADDRESS CITY ----------------- CITY --------~-----------PHONE LICENSE # CLASS OF WORK NEW ALTERATION _'X.,,,,. __ ADDITION ___ _ DEMOLISH REPAIR HOVE ------ MOBILE HOllE (make/l'/Odel) S.F. OF BUILDING S.F. OF LOT ?"f etc.-, # OF FLOORS HEIGHT 'It OF FAMILY _U_N_I-TS _____ # OF BED_R_O_O_M_S ____ _ INTEJ!NDED USE OF BUILDING ------------GAR AGE: SINGLE DBL CARPORT: SINGLE DBL FIREPLACE ATTACHED WATER SUPPLY .-=c-...LL.l;~...:,,.-----------~ DRIVEWAY. PERMIT --~~~---------- SITE PLAN .....------.,,,.--------------BUILDING FLANS .....---------.......,,..---------SANITARY SEWER CLEARANCE NPr;_--, I ON SITE SEWAGE DISPOSAL PERMIT JC a <-t «-,,.[ <. ... f( OTHER DOCUMENTS (specify) PLOT P NOTE' Show easements, property line dimensions, all other structures, specify north, and street name. For odd shaped lots, or if space is too small, provide separate plot plan. # OF BUILDINGS NOW ON PARCEL Yk•; = USE OF ,BU_:rLDING!JNOW ON PARCEL -------- fr1.t t:i_Va L_0 1 Kenn'-/J l:s!GJQ, ) ~h.~ I JSDt;, .._..~ __ .,... •• ~~·-· .... -· ·~ •• u • ·y o I ., r "',)) !"-------------------------- STREET NAME/ROAD NUMBER CHECK IF CORNER LOT I DESCRIPTION OF woiµc PLAl>jNED 4n Vo? tT $ h. e.li =IP A: f.Yln -e.. { buc'/ ti. ,''1}], I hereby acknowledge that I have read this application and the above is correct and I agree to omply with all county ordinances r'laws regulating uilding onstruction ~ FOR OFFICE USE ONLY VALUATION ---,.---,-~----------....,.-.,.---.,.-~ PERMIT FEE $ / t. po PLAN CHECK FEE $ /)., • '!..S:: TOTAL FEE $ 3 {, ?>S-SCHOOL I/1PACT FEE $ Af A- DATE PERMIT ISSUED ZONING DISTRICT ---/Q"'J.,.tz."'!1...+'~--,-. ------- TYPE OF OCCUPANCY ____ ·_..~o:;....-_-z.-_..., ______ _ TYPE OF CONSTRUCTION V,... A/ s .F. OF BUILDING ---z.,..q.,.~"",..-~s~.-F~.~O-F_L_O_T_7_¢=.,...o_a __ MAX. HEIGHT ...,..._._ Zf_r ROAD CLASS. ~ SETBACKS FROM PROPERTY LINE: FRONT~{!;.< REAR . RIGHT LEFT OFF STREET PARKING SPACES REQUIRED ------- FLOOD HAZARD ---------------- CERTIFIED BLDG ELEVATION ----------- SPECIAL CONDITIONS -------------- PROBLEMS WITH PERMIT ------------ ADDITIONAL INFORMATION NEEDED -------- CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR OR ENGINEER --'----~-------~---- r "/' < l---.. - fV\ I -. ~ I /) ;' /7· {) /\ c)/ .. _ _ ,_...,..,........._..........~,---•~··"·--~-~--•·•-·-··--·~•·"·~~'"''''·'w•·-•--~~-···~,........•·••~~,~-·-·-·-·;·~~~ .. ··~•~·r----···,·--·~-•···-····-·-••• .~.~~-·~--·''"" ____ ., ............... -~----·•··-~---- (~· .. ' ) ··-.. _) ··1·" ., __ .-·" ,, ' •·, ..... '! '· '" .. \ ' .·. ( .c!. ¥i ~! (it ;,, \ '\\ .• \. I .• s ' ~) '-.; I~ <!;'--. l ""'·"-. ""' r~ ~ ~;.~ \ l ·-...... __ ,,_ - '· ! ~. 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