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N 04330
GARFIELD COUNTY
BUILDING, SANITATION and PLANNING DEPARTMENT
109 MU Street Suite 303
Glenwood Springs, Colorado 91801
(303) 945 -8212
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Jo6Address OSS (, C.R. 152 Rifle
NatureotWork Fu l$,d.inp P ermi t
Use ofBuilding Manufactured, Home (1MUCBS)
Owner d•LI• Weaver
Contractor owner
Amount of Permit $ i0O•1)C Date: 'epternher 27, 1991
Permit $100.00.
R., Bennett
Clerk
White - Treas,
Canary - Office
Pink - Applicant
Gold - Duplicate
GARFIELD COUNTY
k ' • APPLICATION FOR BUILDING PERMIT /�
, -1 PERMIT NUMBER L/7 /33 7— O1
Rice II please print or type DATE 7 / (979/ . l
disseSSQT'S Rice 1 *
TO BE FILLED OUT BY APPLICANT i PLOT PLAN
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ADDRES5 ZCOUnty Road 352 � �AT 1t I NOTE: Show easements, property line dimensions,
▪ SUBDIVISION n/a ( 4244 Y4 %cSiki P, all other structures, specify north, and street
▪ FILING # LOT # / BLOCK # name. For odd shaped lots, or if space is
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a TAX SCHEDULE # _ too small, provide separate plot Ian.
LEGAL ( ; EC /TWN /k G - MI TwA /(p S # OF BUILDINGS NOW ON PARCEL
7- ��"'
- • F • Tv °-- U5E OF BUILDINGS NOW ON PARCEL 3�
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NAME J.W. Weaver _
. MA I LIN G ADDRESS p.n. pox 1368
p CITY Carbondal CO. — PHONE 963 -2150 m Q- _f e �
NAME _6e7 5e a a (t'�
w ADDRESS P,O, $Ug.1'i6R CITY Carbondale_ �
w NAMR _21/A f__�...._..,.__......�- _._..-
•,. ADDRESS �...__......_��
PI CITY
PI LICENSE #
CLASS OF WORK
NEW _ , ALTERATION _ ADDITION
DEMOLISH REPAIR MOVE e
MOBILE HOME (make /model) not purchased yet -- .2 4 l - 4 - r ° I R 4
S.F. OF BUILDING 17 s f,S.F. OP LOT 24 . acreR
# OF FLOORS 1 HEIGHT 10'
# OF FAMILY UNITS 1 # OF BEDROOMS 3
INTENDED USE OF BUILDING residential
GARAGE: SINGLE DBL CARPORT: SINGLE DBL
_ _ _ FRONT PROPERTY LINE
FIREPLACE
DOCUMENTS ATTACHED STREET NAME /ROAD NUMBER County Road 352 •
WATER SUPPLY yell 1 : 4. f W CHECK IF CORNER LOT _
DRIVEWAY PERMIT ■p,nc #CCrP S 01.47N-74-WIC DESCRIPTION OF WORK PLANNED to install
SITE PLAN V mAnufArtnred home
BUILDING PLANS '
SANITARY SEWER CLEARANCE r ,: � ` I hereby acknowledge that I have read this
ON SITE SEWAGE DISPOSAL PERMIT cjL(" application and the above is correct and I
OTHER DOCUMENTS (specify) agree to comply with all county ordinances
and state laws regulating building construction
CC./ e.f,r-
SIGN E
FOR OFFICE USE ONLY
VALUATION A FLOOD HAZARD
PERMIT FEE $jt?O,p0 PLAN CHECK FEE $ ,J4 CERTIFIED BLDG ELEVATION
TOTAL FEE $,100,00 SCHOOL IMPACT FEE $ N4 SPECIAL CONDITIONS
DATE: PERMIT ISSUED
ZONING DISTRICT i4-/R /,qv PROBLEMS WITH PERMIT
TYPE OF OCCUPANCY Ao
TYPE OF CONSTRUCTION 11 , .,rpm , - .I ,� CS S . ADDITIONAL INFORMATION NEEDED
S.F. OF BUILDING +`ZcV S.F. OF OT .t- Z, q C .
MAX. HEIGHT —.12 e ROAD CLASS. CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
SETBACKS FROM PROPERTY LINE: FRONT OR ENGINEER
REAR RIGHT LEFT
OFF STREET PARKING SPACES REQUIRED
APPROVED: sue , _ 4 J/ •J�. y . _ „. I;;; APPROVED;IGw/IcFU� '/ f 7-z7 � + ~G
1ILDING DEPA ^T' N DA•E PLANNING DEPART ENT DATE
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