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BARFIELD COUNTY
BUILDING, SANITATION and PLANNING DEPA11TMENT
109 8th S-1 Suite 303
GlenwoOd Springs, Colorado 81601
(303) 945-8212
Job Address --~03~4~4~00~ryi..l:.ll:''±::':lc.:Rl~!.' _..:;_G".!''.!:S~,-------------------------
Nature of Work Buildirig l'ellnit
Use of B ulldi ng _..JP!Jl1.<ai.:ce::e--InxxlllOCil•ii1Jlia11:rr....ogff;!!fJ.j cccuuO--l.;•ltlitl.li.tt:...cQ:i>n-_jfrnca:11mC!lldl•1:tt.1:iionca---llfoOJ:.,..'--l.l'lli9-*-.1111ilil~gµ11ux:;;agu:1g1i1-----------
0w ner ----~Henllenryry~Tr_~w~lllllLiusonB01l----------------'---------------
Contractor ___ _,,Qwner,......,,,_ _____________________________________ _
Amount of Permit: $ 7,..3.<.•a.:4.,0,_ ________ _
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44.50
28.!lO
White -Treas.
Canary-. Oftiee
Pink -Applicant
Gold -Duplicate
Pei::mit
Pla.n
Date: 7/26/
E. Haring
Clerk
GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT
PERMIT NUMBER J ;_(f
DATE 1/:UI~ please print or type
TO BE FILLED OUT BY APPLICANT
ADDRESS {)?1¥9 ('i':i?((,J/ &5
SUBDIVISION ____ ~--=--~~~~-----
F ILING # WT # cJ.J BWCK #
TAX SCHEDULE # -----~~~~-~~~-LEGAL (SEC/TWN/RNG) __________ _
CITY
NAME -------------------ADDRESS
CITY ---------·----------PHONE _____ _ LICENSE #
CLASS OF WORK
NEW-~)(~--ALTERATION ____ ADDITION----
DEMOLISH REPAIR ----MOVE _____ _
MOBILE HOME (make/model)
S .F. OF BUILDING /,.'J'iJ.5q S .F. OF LOT ----
# OF FLOORS HEIGHT --------
# OF FAMILY UNITS # OF BEDROOMS ----
INTENDED USE OF BUILDING ------------
GARAGE: SINGLE_ DBL}{ CARPORT: SINGLE DBL
FIREPLACE
DOCUMENTS ATTACHED
WATER SUPPLY ------'it'!:)""'~...,...L· ~£-~'S'~"!......!'~~:...:::Pz04-_______ _
DRIVEWAY PERMIT __ __:f~'~---"7"""°---------
SITE PLAN _____ ....;-;;J:_l!'-----------
BUILDING PLANS ---~X,,__'--==.,,,-------
SANITARY SEWER CLEARANCE ---------~--~--
ON SITE SEWAGE DISPOSAL PERMIT E.t;;.ck'fi'.,.,_,__~
OTHER DOCUMENTS (specify)
It#~ e D l;,"zf(?~,.,
I 4/
PLOT PLAN
NOTE: Show easements, property line dimensions,
all other structures, specify north, and street
n~me. For odd shaped Jots; or if sp~ce is
too smal.1, provide separate plot plan.
# OF BUILDINGS NOW ON PARCEL _ __:-i,--=------
USE OF BUILDINGS NOW ON PARCEL --------lfe s , ...... c/e H ..... e_5
FRONT PROPERTY LINE
STREET NAME/ROAD NUMBER --'"''"'"'~"1'"'¥~..._~(~/__..~-='1--~
I hereby acknowledge
application and the above is correct and I
agree to comply with all county ordinances
GNATURE
and state laws regulating building construction. 2iQ-1dh1 ;;: L 2 c :0Q. 4 ID=
VALUATION
PERMIT FEE
TOTAL FEE
-4f" FOR OFFICE USE ONLY
~ 7• '""" o FLOOD HAZARD ----------------
$ ~ Ct>PLAN CHECK FEE $ ;;;z t~ 'lb CERTIFIED BLDG ELEVATION ----------
$ 971j, tt SCHOOL IMPACT FEE $ JVA-. SPECIAL CONDITIONS -------------
DATE PERMIT ISSUED ----~--~------~
ZONING DISTRICT 4 !;:2/f( 0
TYPE OF OCCUPANCY ----~"""E.a'---------
TYPE OF CONSTRUCTION --~J.:::.a<:...~~:...::.1\/-=--------~
S.F. OF BUILDING /.i1-;;fis.F. OF LOT ___ _
MAX. HEIGHT ....._ /ii-,. ROAD CLASS. ,
SETBACKS FROM PROPERTY LINE: FRONT~J¥Y7a {! I REAR RIGHT L FT ____ _
OFF STREET PARKING SPACES REQUIRED ------
APPROVED:
PROBLEMS ~!ITH PERMIT ------------
ADDITIONAL INFORMATION NEEDED --------
CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
OR ENGINEER -----------------
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This is to certify that on the 22nd day of November, 1972, there
Wd~ d .survey made :...inrier my supcrvi~ior. o.f, i;Tlpn'.)veme~1ts· 0r1 r.::i parcel
of land In Lot 21, Section I, Townsh-ip 7 South, Rangl3 89 West of
tha Sixth Principal Meridian, County of Garfield, State· of Colorado.
I found a two story house of frame c~nstructlon, aluminum siding,
concrote foundation and asphalt shingle root to be located within
tho boundary lines of tho parcel as shown on thts pl•t. Also other
structures as shown. The location and dimensions of al I bui !dings,
improvements, easements ond rights-ct-ways in evidence or known
to me and encroechments by or on the promises are accurately ->hewn.
,·
SCARROW AND WALKER INC.
Robert 0. Scarrow
Registered Lond Surveyor
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