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HomeMy WebLinkAbout1.03 Supplemental Application Info - Signed Application FormCommunity Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com LAND USE CHANGE PERMIT APPLICATION FORM TYPE OF APPLICATION Administrative Review Development in 100-Year Floodplain Limited Impact Review Development in 100-Year Floodplain Variance Major Impact Review Code Text Amendment Amendments to an Approved LUCP LIR MIR SUP Rezoning Zone District PUD PUD Amendment Minor Temporary Housing Facility Administrative Interpretation Vacation of a County Road/Public ROW Appeal of Administrative Interpretation Location and Extent Review Areas and Activities of State Interest Comprehensive Plan Amendment Accommodation Pursuant to Fair Housing Act Pipeline Development X Variance Oil & Gas Development Oil & Gas Development Amendment Time Extension (also check type of original application) INVOLVED PARTIES Owner/Applicant Name: Switzer Mountain Home LLC___________________________ Phone: (314)397-6488 Mailing Address: 33 ST.Finnbar Farm RD________________________________________________ City: Carbondale_______________________________ State: CO_____ Zip Code: 81623____________ E- mail:carilee.switzer@gmail.com____________________________________________________________ Representative (Authorization Required) Name: Maley Building Corporation__________________________ Phone: (970)927-1026__________ Mailing Address: P.O. Box 4028____________________________________________________________ City: Basalt____________________________________ State: CO_____ Zip Code: 81621___________ E-mail: patrick@maleybuilding.com_____________________________________________________ PROJECT NAME AND LOCATION Project Name: _Switzer Building Height Varience____________________________________ Assessor’s Parcel Number: 2391-312-18-005 Physical/Street Address: _33 ST. Finnbar Farm RD, Carbondale CO 81623___________________ Legal Description: Lot 5, ST. Finnbar Farm Subdivision_______________________________ _____________________________________________________________________________________ Zone District: ___________________________________ Property Size (acres): 13_______________ PROJECT DESCRIPTION Existing Use: Residential Barn/ADU__________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Proposed Use (From Use Table 3-403): Residential Barn/ADU_____________________________________ Description of Project: See Attached __________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ REQUEST FOR WAIVERS Submission Requirements N/A The Applicant requesting a Waiver of Submission Requirements per Section 4-202. List: Section: ______________________________ Section: _________________________________ Section: ______________________________ Section: _________________________________ Waiver of Standards N/A The Applicant is requesting a Waiver of Standards per Section 4-118. List: Section: ______________________________ Section: _________________________________ Section: ______________________________ Section: _________________________________ I have read the statements above and have provided the required attached information which is correct and accurate to the best of my knowledge. _______________________, Authorized Represntative_______ Signature of Property Owner or Authorized Representative, Title _6/10/25_______________ Date OFFICIAL USE ONLY File Number: __ __ __ __ - __ __ __ __ Fee Paid: $_____________________________