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.� GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT
PERMIT NUMBER .M
please print or type DATE 3F.P7 • 4 /9g7
TO BE FILLED OUT BY APPLICANT PLOT PLAN
ADDRESS Q/ 7 1 5A4tr r n tW, n+v i NOTE: Show easements, property line dimensions,
.a SUBDIVISION fIt/YGk ni,4 Rh/VC-MC all other structures, specify north, and street
¢ FILING # LOT # le? BLOCK # name. For odd shaped lots, or if space is
o
w TAX SCHEDULE # too small, provide separate plot plan.
LEGAL (SEC /TWN /RNG) /4 7 -87 # OF BUILDINGS NOW ON PARCEL 1
NAME �+�� USE OF BUILDINGS NOW ON PARCEL J4
pd 11.1441•419 A 1-SFI1xti .SR, erere
• MAILING ADDRESS ��
o CITY _ PHONE �7 /� r _
s a NAME �] £. //.�[� 2-7--S a E ADDRESS CITY
x NAME 4p , . r 7y
0 ADDRESS Boy 94
g CITY AS#WAI
°HONE 9, 7 - n LICENSE #
CLASS OF WORK
NEW ALTERATION ADDITION 01110 -
DEMOLISH REPAIR �.. MOVE
MOBILE HOME (make /model)
S.F. OF BUILDING 6.4 S.F. OF LOT 6 ,4s...
# OF FLOORS / HEIGHT /2'
# OF FAMILY UNITS # OF BEDROOMS ---
INTENDED USE OF BUILDING 44 -s
GARAGE: SINGLE DELL/ CARPORT: SINGLE DBL
-- FRONT PROPERTY LINE
FIREPLACE /Y W,,,d
DOCUMENTS ATTACIIED STREET NAME /ROAD NUMBER S. At_7 '1,v_ AE
WATER SUPPLY , [ c CHECK IF CORNER LOT _
DRIVEWAY PERMIT •)cis t. DESCRIPTION OF WORK PLANNED ArarroAl ID,
SITE PLAN ■ 1.91 lo' 8 oIll wl d-- &to4o-G
BUILDING PLANS 7
SANITARY SEWER CLEARANCE A/A-.. I hereby acknowledge that I have read this
ON SITE SEWAGE DISPOSAL PERMIT /11041- application and the above is correct and I
OTHER DOCUMENTS (specify) agree to comply with all county ordinances
and tt e lays x Satin building construction
SIGNATURE
/ FOP. OFFICE USE ONLY
VALUATION Ora -Qire ; _ ' 7..z#1.0414: 1 0 FLOOD HAZARD
PERMIT FEE $ °PLAN CHECK FEE $ 4t. _ CERTIFIED BLDG ELEVATION
TOTAL FEE $ / SCHOOL .IMPACT FEE $ �� SPECIAL CONDITIONS
DATE PERMIT ISSUED
ZONING DISTRICT /47410 PROBLEMS WITH PERMIT
TYPE OF OCCUPANCY ,R .3
TYPE OF CONSTRUCTION IV ADDITIONAL INFORMATION NEEDED
S.F. OF BUILDING S.F. OF LOT ,j +L[( e
MAX. HEIGHT •9.. 1 11- 1 ROAD CLASS. !! CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
SETBACKS FROM PROPERTY LINE: FRONT O... lsµ,,_S OR ENGINEER .
REAR RIGHT _ LEFT
OFF STREET PARKING SPACES / REQUIRED „,
�f� / q �-7
APPROVED: e.. . ' / j . id/ i a " 7 AP n TED: �Gfiy. �! �'J�� . /�Z'�,• /
LDING DEPA' E T ' i r DA' PLANNING DEPARTMENT DATE