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ALL BUILDING PERMIT APPLICATIONS MUST INCLUDE THE FOLLOWING: <br /> 1. COMPLETED APPLICATION FORM <br /> 2. AUTHORIZATION FORM COMPLETED IF OWNER IS NOT APPLYING FOR PERMIT <br /> 3. PROOF OF PROPERTY OWNERSHIP (NOT DEED OF TRUST) <br /> 4. ONE PLOT PLAN <br /> A. WHERE PROPOSED WORK IS BEING DONE <br /> B. DISTANCES BETWEEN EACH LOT/PROPERTY LINE TO PROPOSED WORK <br /> C. DISTANCES BETWEEN PROPOSED DEMOLITION AND ANY EXISTING STRUCTURES <br /> D. ALL OIL/GAS PRODUCTION FACILITIES WITHIN 200 FEET OF PROPOSED <br /> DEMOLITION (TANK BATTERIES,WELL HEADS, ETC) <br /> E. IDENTIFY THE STREET OR COUNTY ROAD ACCESSING FROM <br /> F. IF YOU REQUIRE AN ADDRESS, YOU MUST SHOW THE DISTANCE FROM THE <br /> NEAREST INTERSECTION TO THE DRIVEWAY/ACCESS TO THE PROPERTY <br /> G. NORTH ARROW <br /> 4. ASBESTOS LETTER REQUIRED <br /> COLORADO DEPT OF PUBLIC HEALTH 8. ENVIR—ASBESTOS DEPT (303)692-3100 <br /> AUTHORIZATION FORM <br /> I Josh Nims, Water Resource Engineer represent City of Westminster for the <br /> (Applicant) (Owner) <br /> property located at 1206 WCR 23 3/4, Brighton, CO <br /> Legal Description: Qtr/Qtr SE Section 25 Township 1 N N, Range 67W W <br /> Subdivision Name: Lot Block <br /> can be contacted at the following phone#'s: Home <br /> Work (303)658-2400 , Ext. 2180 <br /> Cell (720)839-6231 <br /> Correspondence mailed to(only one): X Applicant ❑ Property Owner <br /> / •� r i w�' <br /> Owner's Signature / 'J'�"�' �.. ' .J`t->t^-,,.j:t� Date <br /> N THE APPLICANT, HIS AGENTS AND EMPLOYEES SHALL COMPLY WITH ALL THE RULES. RESTRICTIONS AND REQUIREMENTS OF WELD COUNTY <br /> ZONING REGULATIONS AND WELD COUNTY BUILDING CODES GOVERNING THE ABOVE PROPOSED WORK FOR WHICH THE PERMIT IS GRANTED <br /> O THE BUILDING OFFICIAL OR HIS AGENTS ARE AUTHORIZED TO ORDER THE IMMEDIATE CESSATION OF WORK AT ANY TIME A VIOLATION OF THE <br /> CODES OR REGULATIONS APPEARS TO HAVE OCCURED. VIOLATION OF ANY APPLICABLE CODES OR REGULATIONS MAY RESULT IN THE <br /> T REVOCATION Or THIS PERMIT <br /> I THE APPLICANT IS REOUIRED TO CALL FOR INSPECTIONS AT VARIOUS STAGES OF THE DEMO,AND IN ACCORDANCE WITH THE AFORESAID RULE, <br /> THE APPLICANT SHALL GIVE THE BUILDING INSPECTOR NOT LESS THAN ONE DAYS NOTICE TO PERFORM SUCH ACTIVITIES <br /> C <br /> THE APPLICANT MUST CO:!PLY %WITH CURRENT 13UILDING INSPECTION DIVISION EXPIRATION POLICY WELD COUNTY IS NOT LIABLE FOR <br /> E WORW ANSHIP. PERMITS ARE NOT TRANSFERRABLE. <br /> REVISED 09/2015 <br />