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- BUILDING PERMIT APPLICATION
GARFIELD COUNTY BUILDING DEPARTMENT
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tt Garfield County, Colorado, 1v ,
Owner: �1`v l 1-- - h 0 1 1 C. \r\ A 1^-
Contractor or Builder: S P '�
Location: _ .Td a 1-11A..... o 4 a 1
Purpose for which building is to be used: S k a (0 4 I ./ i rut QTR. S
Size of Lot: 04 V R Acart S
Distance of building from property line at /
Front: 7.4. Rear: . JO F �S Left Side: r ? S Right Side:
Distance from nearest building: el 0 1 k .S Number of stories:
1
Source of water supply: Ora S Number of rooms:
9
Type of sewage disposal: I/v. ST 6-le /11 cc/4041f - 10t Type of foundation: 0 4 Vit e N T
1 0e 4FliR
Width of building: a � Material in outide walls:
30 1-- 1 Caft
' � e R 1 Length of building: Exterior finishkcJ eci A 1-0-0Sev 0 i
Height of walls: / O ___ ___._ Type of roof: 5 dope - 1 a
Floor space in square feet: _ J S a-D sg f l
Estimated value: $ 3 P a 00 r ✓ 7 O C�� Btie
Date construction will begin: a 1 irf) 0 M1/ 4 RM I bate of completion: ill & t- R' 1
I'I Permit charge: $ 7. se
Plan check fee: $ / _
TOTAL: $ Ala
And I /We hereby agree to build strictly to the terms of the above description, and also to clear the grounds and
adjacent street or streets of all rubbish and debris caused by the construction of said building.
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# 4iie Respectfully, O 04 --. Q i 0 4v1 ‘"
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climei &fir 41,
The County Commissioners hereby grant the abo e permit as per terms therein stated. This / day or
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BUI f NO OFFICIAL