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HomeMy WebLinkAbout3670 r i GARFIELD COUNTY a APPLICATION FOR BUILDING PERMIT Jo 7o PERMIT NUMBER . please print or type DATE s 'Ler/94 ' TO BE FILLED OUT BY AP LICANT PLOT PLAN ADDRESS ©030 /t/11 q(cw Lilt NOTE: Show easements, property line dimensions, SUBDIVISION RJ U 3ffIJK all other structures, specify north, and street r a FILING #,3 LOT # t, BLOCK # name. For odd shaped lots, or if space is a TAX SCHEDULE # too small, provide separate plot pla LEGAL (SEC /TWN /RNG) 2 Lifrirg # OF BUILDINGS NOW ON PARCEL APT" e w J i [Y t)E AIM _. USE OF BUILDINGS NOW ON .PARCEL /VDNE " NAME MAILING ADDRESS r /Vl, 'j . 4{/E. g cm Al . hinca{Otgv- / ,57JPHONE Sl/7 7 003 NAME w /I/omi 6. CNllz&on _ 1 i ADDRESS .j7 mr AVG , CITY ` id", EGO pp a NAME _ 1wak �viJzbn' ,un Peg' a, f 4.. 7 6 ADDRESS %33 7] • c . a m Ate I CITY ") An Y/ 7 . Za ^/2-3 p PHONE ' -. LICENSE # rd 62ob'F. ^W K CLASS OF WORK NEW ,.� ALTERATION ADDITION DEMOLISH REPAIR MOVE ^ MOBILE HOME (make /model) S.F. OF BUILDING 2-1(2_ S.F. 0? o 970. gQ" # OF FLOORS 2 HEIGHT I FKt'r # OF FAMILY UNITS 1 # OF BEDROOMS ' INTENDED USE OF BUILDING. P/Q/.'M751- GARAGE: SINGLE DBL ✓CARPORT: SINGLE DBL FRONT PROPERTY LINE FIREPLACE „, y -- 1 f74% PiV i - 1 , / � , D � O ,,, C ,, UMENTS ATTACHED _ STREET NAME /ROAD NUMBER W E] /34 -4/1< r d . w WATER SUPPLY �+!IY1O/V kall- CHECK IF CORNER LOT V DRIVEWAY PERMIT DESCRIPTION OF WORK PLANNED NEW 2.ESi DENT /R4- SITE PLAN BUILDING PLANS SANITARY SEWER CLEARANCE 1 hereby acknowledge. that I have read this ON SITE SEWAGE DISPOSAL PERMIT application and the above is correct and 1 OTHER DOCUMENTS (specify) agree to comply with all county ordinances and state laws regulating building construction SIGNATURE FOR OFFICE USE ONLY VALUATION 7' ?/ /,S' /, 00 FLOOD HAZARD PERMIT FEE $ 3,q o PLAN CHECK FEE $ 23).140 CERTIFIED BLDG. ELEVATION TOTAL FEE $4 SCHOOL IMPACT FEE $ 7Q0,®D SPECIAL CONDITIONS DATE PERMIT ISSUED ZONING DISTRICT /2/ 4 d' Pa i> & PROBLEMS WITH PERMIT TYPE OF OCCUPANCY � 3 T 99 TYPE OF CONSTRUCTION V ADDITIONAL, INFORMATION NEEDED S.F. OF BUILDING? `a'j S.F. OF LOT.Citl0,V$l MAX. HEIGHT 7 .�... ROAD CLASS. 7 CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR SETBACKS FROM PROPERTY LINE: FRONT,Sjt1 1 OR ENGINEER . REAR RIGHT LEFT OFF STREET PARKING SPACES REQUIRED Jr. , .ROVED: �j 4 41 d� / / ./r+' ' T , r AF ►'ffj 2?: / 3 if 4FILAING DEP''T o f 'ATE PLANNING DEPARTMENT BATE