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Costilla County Planning & tuning
<br />' r~-~- Construction Permit
<br />(Ylinor Development)
<br />~~®~~~ Jew 1~~~~
<br />Pesch copy =file Pink wpy = To be Posted
<br />Dtiner Dev. Appltcation No mO r 7~f a ((cal
<br />ADDRESS: I'•. ~ Y> < < 3 / +:~ Sri ~ t ~ ~!~ ~ S _ state(C~ zip S
<br />TELEPHONE: ~ / ~/ - ~ '~?_ - ~/ t 2'' FAX: F > :(- i 3
<br />NOTE; (t(applicmu is not Nre owner ojtl:e propem~, then a copy ofa contract jorsale tease behtren
<br />nppficm+t mtd o+rner, or a notan:ea'letterfi•an the u~mer ca+senting to this application, rt:usl be ' ,
<br />submitted).
<br />LEGAL DESCRIPT]ON OF PROPERTY: (Attach a copy of deed and/or survey plat)
<br />Construction Permit , , _. ` ` ~:'~
<br />T}pe of Construction: New Constmction~ Remodel Expansion' ' Accessory Bldg -
<br />ContractorName C4T4nyizr2n_-~~1r~nr,~!_Lic# Qz.-O~{ (ot_}O~(p
<br />Address:l0"I_r't1~t~r.nil_'~+_,,,,,~ ~,-.-,-~~ Phone:_3n`i_~7~-~t~s~!
<br />Exisnnguse: Proposed use:
<br />Height (fr): J~__No Of stories I No. Otdttieflingunits I Total rooms 5
<br />Garage Single: Double: Attached: " - Detached:
<br />Approximate Start Date: ~/ ti /~~ Approximate etid Date 1j_/~/94 ~ ~i~
<br />Building dimension (ft). s ' x ~ Site Plane N . (A'6astc~tlan must be attached) ; .,-
<br />1Vi11 this structure be occupied? Y . N (An OccupattcyPetntilisrequuedfor all Dwtllmgi7mtsx `
<br />Orr ~~~3 " x'l "r°Ei~Y..
<br />Parcelslze. ___ __ _ c. ,, r, :. .:;r"~c .:,,~,'~'.-.
<br />Utilitieslnformatioo';" '~ .~j~~~~~ ~ b-''-•+t '•,{ ~ r
<br />_~i l}-~F r~r~~i ... ~ 2.rYe4 a-.K^.f YC'A ~f
<br />Water And,Sanitation District (Tievt); :Y_ NU District Name:
<br />~; ISDSPeririi($ -
<br />Electrical Contractor: Ac v-~1~ i-L. .~o-r* F
<br />.Plumtiiti Contracar - I
<br />y PERhi1T FEE: S 1 ~- ° °
<br />-'. TOTAI,;F,EESDUE: S~~i~2-jr„RECEIP
<br />`y % "• FOr all yvor7ldotie wider tl:rs perntlt t)ie pertnipee a+
<br />coinpllance, with tl:e Costilla Cou~iry,La»d Use Gab
<br />"' `` Coinrry" Ordinances, atuiSrate~ofColoradoReg:tlgtr
<br />' ' - , _obraiited for electrical, I~uirridrral:Seiypge Disposal.
<br />' ; cotirtruckon; uid in some cases plumbing. PernijE
<br />~~ ~~ ofissite:Requireditupectiotr's,5a/hbereguestedsev~
<br />f»al itupeciiat'shall be made ,5efore occrrp"attc}' isE
<br />occupied until a CertiGr^ate of ~'~ccupattcy has been
<br />.- , ;~ _ i
<br />Pter{t}itte2t'Signattue: 1! C`7~7 ' :i~Gttylt~~1''/
<br />~ ~ ; _, --T
<br />Approved:
<br />s • ' Costilla County Land Use dministra r,
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