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GARFIELD COUNTY
BUILDING, SANITATION and PLANNING DEPARTMENT
109 8th Street Suite 303
Glenwood Springs, Colorado 81801
(303) 945-8212
Job Address . 0777 Tana thy rartnncIFl1
Nature of Work Wilding Permit
Use of Building S/F Residence
Owner JUCI & Kx R. minaley _..�_.�...._..._.�__
•
Contractor Other .._..-
Amount of Permit: $ 506 Date: 4 /7/ 8 Q
g .
307.00 Permit D. Haring
199.55 Plan
Clerk
White - Treas.
Canary-Office
ie Pink - Applicant
Gold - Duplicate
414,
GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT ! 7�
PERMIT NUMBER �{�+
please print or type DATE _ 07,
TO BE FILLED OUT BY APPLICANT PLOT PLAN
ADDRESS () 777 6 a /4/44 6,�,,r NOTE: Show easements, property line dimensions,
SUBDIVISION (//: Ca creek _..G., 44- all other structures, specify north, and street
¢ FILING # LOT # 9 BLACK # name. For odd shaped lots, or if space is
w TAX SCHEDULE # too small, provide separate plot plan_
LEGAL (SEC/TWN/RNG) # OF BUILDINGS NOW ON PARCEL /
1 2 PIAME , , _ ��S CI- USE OF BUILDINGS NOW ON PARCEL Carcv_S� P
0 W MAILING ADDRESS e q r/
CITY „, ' ,. PHONE 927 - fed 93 kll e /ec,
NAME rrn ijc'ncrYE 2-3- . t
w ADDRESS ��7.SS(/ S'�mm, e/CITY !
m NAME / w. /and /ar/ l �� , jS� r
ADDRESS ADDRESS
CITY
PHONE LICENSE #
0 -
CLASS \\N
NEW ALTERATION OF WORK 44„ `4�ZXrS��•N✓
DEMOLISH REPAIR MOVE C. 4,11 G4ra 9 t
MOBILE HOME (make /model)
S.F. OF BUILDING S.F. OF LOT T AS '
# OF FLOORS HEIGHT J4'
# OF FAMILY UNITS 3 # OF BEDROOMS 02 " iD—'.
INTENDED USE OF BUILDING LA/c5 in
GARAGE: SINGLE DEL g CARPORT: SINGLE DEL
_ _ FRONT PROPERTY LINE
FIREPLACE (4/6'a o s roL`
DOCUMENTS ATTACHED STREET NAME /ROAD NUMBER 0777 Gout Wmf
WATER SUPPLY , - , , CHECK IF CORNER LOT Le ✓
DRIVEWAY FERMI N A DESCRIPTION OF WORK PLANNED if,___ii ec _s;2' _
SITE PLAN L- 1 Q n- 1 2..x,- dm.-t4 , . .
BUILDING PLANS ;Crop /copse
SANITARY SEWER CLEARANCE _ 204 y am.- : .:44 — I hereby acknowledge that I have read this
ON SITE SEWAGE DISPOSAL PERMIT relcJitrie-41 • application and the above is correct and I
OTHER DOCUMENTS (specify) _ agree to comply with all county ordinances
and state laws
y. �regulating building construction
.1:' 7 SZGNATUI[la'
r {�/� / o FOP. OFFICE USE ONLY
VALUATION %S U z' ° FLOOD HAZARD
PERMIT FEE $ 0 - DO CHECK FEE $ it CERTIFIED BLDG ELEVATION
TOTAL FEE $ C S-S'SCHOOL IMPACT FEE $ SPECIAL CONDITIONS
DATE PERMIT ISSUED
ZONING DISTRICT PROBLEMS WITH PERMIT
TYPE OF OCCUPANCY
TYPE OF CONSTRUCTION ( ADDITIONAL INFORMATION NEEDED
S.F. OF BUILDING S.F. OF LOT
MAX. HEIGHT ROAD CLASS. CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
SETBACKS FROM PROPERTY LINE: FRONT OR ENGINEER .
REAR RIGHT LEFT
OFF STREET PARKING SPACES REQUIRED
APPROVED: I ,L l' APPROVED:
B UILDING DEPARTME °' ' °TE PLANNING DEPARTMENT DATE