HomeMy WebLinkAbout3745 V GARFIELD COUNTY
• APPLICATION FOR BUILDING PERMIT
PERMIT NUMBER 37
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please print or type DATE 7/97
TO BE FILLED OUT BY APPLICANT PLOT PLAN
ADDRESS o $ 3 p/(,LU IL i 0 NOTE: Show easements, property line dimensions,
SUBDIVISION ft111 C. pile_ all other structures, specify north, and street
FILING # 05 k 1. LOT # BLOCK # a name. For odd shaped lots, or if space is
TAX SCHEDULE # m !a 110 too small, provide separate plot plan.
LEGAL (SEC /TWN /RNG) TWQ 6 8 # OF BUILDINGS NOW ON PARCEL 0
-
NAME � �� C c • USE OF BUILDINGS NOW ON PARCEL
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MAILING At PRESS (e nl _ fS} a pc) D CITY
0 ? mitt, t0 I 00 s PHONE 3 I .�.� .... .. _..... -.
y a NAME //.. ""
ADDRESS /V ^+ CITY .................. .
g NAME /�y/� - ��
ADDRESS A Al CITY �q
PHONE LICENSE # f? Os n {{ U
CLASS OF WORK 4' c.721
NEW ALTERATION ADDITION '
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DEMOLISH REPAIR MOVE ! � 410 04 g;d c,p1,. /0
MOBILE HOME (makel del)G�,(L.K,pl lM Ia - /G P2J ) , 5h( �. • .
S.F. OF BUILDING f ?(p S .F . OF LOT(0Q �-tt
# OF FLOORS 1 HEIGHT
# OF FAMILY UNITS # OF BEDROOMS ,'3 j 1
INTENDED USE OF BUILDING Qrj (d'P,n CP S ., O i - �l A 73
GARAGE: SINGLE DBL CARPORT: SING DBL FRONT PROPERTY LINK
FIREPLACE
DOCUMENTS ATTACHED � STREET NAP _.._ �,_,.._ ........ .... ..__.._ „._.....L......
9E /ROAD NUMBER NIV PTO OI SS
WATER SUPPLY CHECK IF CORNER LOT
DRIVEWAY PERMIT CE T K� DESCRI TI N OF WORK PLANNEDSp,f (cr Skit.*
SITE PLAN m." q., d ct 1
BUILDING PLANS .'V.4
SANITARY SEWER CLEARANCE I hereby acknowledge that I have read this
ON SITE SEWAGE DISPOSAL PERMIT _A : ,y e F application and the above is correct and I
OTHER DOCUMENTS (specify) ..J agree to comply with all county ordinances
and state laws regulating building construction.
SIGNATURE d
FOR OFFICE USE ONLY
VALUATION FLOOD HAZARD
PERMIT FEE $ Ow PLAN CHECK FEE $ Sit' CERTIFIED BLDG ELEVATION
TOTAL FEE $ 0 SCHOO IMP•C FEE $4 SPECIAL CONDITIONS
DATE PERMIT ISSUED hr i.�
ZONING DISTRICT -A wl!: 'A? /D PROBLEMS WITH PERMIT
TYPE OF OCCUPANCY _
TYPE OF CONSTRUCTION d d. .�/, c...n. ADDITIONAL INFORMATION NEEDED
S.F. OF BUILDING S.F. OF LOT fo ppd
MAX. HEIGHT .,,, y, ' ROAD CLASS. — CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
SETBACKS FROM PROPERTY LINE: FRONT / OR ENGINEER
REAR ny ch RIGHT frj e LEFT !2,- °
OFF STREET PARKING SPACES REQUIRED
.4 r 7 .9 i
APPROVED: ... , , .✓/ / i . 7 S 7 APPROVED: • 2,/ S
f UILDING DEPARTMEN D.'E PLANNI�JG DEPARTMENT DAT