Laserfiche WebLink
MONTROSE COUNTY LAND USE DEPARTMENT <br />3l7 SOUTH 2`~D. <br />Ntontrose, CO 8 f 40l <br />O70) 249-6633 <br />LAti`D USE UPGR~.DE QUESTIOivNAIRE <br />This form kill assist you and our staff in sn'eamlining the permitting process. Please till in all <br />applicable spaces and attach legal description with any supporting documents (location maps, <br />plot plans, etc.). Thank ou (PLE SE PRINT) <br />Applicant's Name: (~ ~ ~ ~2/t j/ Day Phon ~ -~~ <br />Applicant's Mailing Address: ~'~_~~ <br />Property Owner Name: Same /Different <br />PROPERTY LOCATION <br />* Legal description of property -Obtain 2 copies of the Property Record Card from <br />the Assessor's Office. [f you have multiple properties, be sure that you obtain the <br />applicable record card. Attach copies to this questionnai. <br />* Existing site address(es) for this property (~ I'll le'S ~~ aF ~~ Y~i.I'rP~'f'F G>l1 ~~~ ~•~U.tsj~p <br />~~~ ~~ Street address City/~ / <br />* Property is currently~ly>,~~°cres in size. Property is zoned ~~,E~lCytk /t,tK'~(, <br />* Property has county road frontage on ~/~ ,/ Rd/Dr/Hwy <br />* Property is Lot # of ~/iy- Subdivision <br />PAST HISTORY <br />* Number of residential dwellings located on property ~ Number of Outbuildings <br />* Number of approved residential and/or commercial accesses existing on property Coat a{~` CP,34' <br />* Number of farm accesses existing on property _~ ~~~ <br />* List addresses previously assigned to existing btdgs <br />* List permits previously obtained for this property Bldg Septic Access <br />* Drinking water source itlaiV~ Sewage source /]~Oit/E <br />PROPOSED UPGRADES (please check all that apply) <br />* Obtain Site Address * 91 1 Address Sign <br />* Obtain Building Permit * Mobile Permanent Foundation Permit <br />* Obtain Septic Permit * Mobile Temporary Foundation Permit <br />* Obtain Access * Obtain Floodplain Permit <br />" Subdivision of Property * OtherJ,NCt?~F ~irr~~a- t~+t ~.`-S'!s~ .~.~~ <br />Request to be considered for Exemption from Local Road Building Requirement <br />* Request for Change in Zoning District PD FPD <br />Request for Variance from Access Policy ~" <br />Request for Special Use Permit / (~i(k'i~i" S- j~ ~~Y- ~~-D~-01_° <br />.r ~iK `i~~S I`~ ~fK, <br />Signature o('•Landowner.~Applicant..or Authorized Agent (please circle) <br />ju j6~S <br />Date <br />