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HomeMy WebLinkAboutpitkin.bldg.246528101004DOCUMENT LAYOUT Certificate of Occupancy or Letter of Completion (most recent project) Permits Final Inspections Any Supporting Documents Site Plans (no architectural plans) If there are previous projects they will follow in the same order. s,: , _. _ .~.,.,, _ _,~~ m r , ~.~; - - .;~ PITKIN COUNTY ~! ilk, l~~i~ _ ROAD ACCESS/DRIVEWAy PERMIT AI,pLICATION "'ss`} 4 ~ ' ermit Fee: $170.00 Receipt #_ (~ permit # c~ t~ ~ ~ ej ~jC) Read instructions on the reverse side before completion. ~`' S ~~~~ ~ ~•~ ' . THIS PER,'~IIT v1i~ST BE KEPT ON SITE AT ALL TIMES. ~~° ~" Phone I~ZO'~-?st4-515 Property Owner Gih flY$O!/~ Owner's Address ~~Rtyt$ !K~- Legal description of property to be accessed L©f 5~' ~~~ s } ~~` h+dYwrA~tl.~ ~Glf~ t'ITZ~I~Co. Located on the _,,{_ side of County Road # ,also known as W~St` Road SaY~ts ~~ (provvide a detailed map showing the location). Address of property to be accessed_ ~`.$~ (Pitkin County staff will determine the address.) Parcel ID number of property to be accessed 2~~5. l - D(~00/ ~ (Call the Pitkin County Assessor's Office at 920-0160 for the parcel ID number.) Length of permit Provide the following information: Construction to begin on (date)~~,q~. Is there an existing access? Nv Do other roads/easements abut the property ^,p ~~ Agricultural access -- number of acres Resential access -- tvpe/number dwelling units ~~~ N~iu(ureC., ~' ' Commercial access -- number/square footage of businesses. Included with this application shall be the following: Q' Driveway plan/profile ^ Drainage plan with County Road shown ^ Compliance with land use approvals ^ Board of Adjustment approval (if applicable) ^ Specific site or vicinity map ^ Access Easement A ^ Written proof of a license or agreement to cross greements (if applicable) RFRHA property (if applicable) Applicant Signature: -~~~~~2~~ft~l~i~ Gj~y4~lo,~/FuEtG ate: _ 7l Staff comments: ~'^~; Approved• ~-~ ~ ~ p„ r• Date r / 4 9 Date: ~_~~y~ ,:.W ~sOVER