PERMFILE115249

• Permit No: M1981075
• IBM Index Class Name: Permit File
• Section_Exhibit Name: EXHIBIT A-LEGAL DESCRIPTION
• Media Type: D
• Archive: No

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(To be accompanied by two copies of grading plan) pERAl1T NO.
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L-egal description (or attach) =fE ~~<«== -
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Proposed land use or purpose ~ ~ ^'~~~--~° `~•~~=~ `"- `
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Owner ~~hsr A.~~~ YYPNCrS l /
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Address /\G,.Tf_ 3 7FSo I~C7r ~ Y ,cr~~-~^~n-T ~~ rr~o/ Phone Nn. ~ Z3 - ~.7~ ~S _,__,
Grading Plan (two copies attached)
Prepared by P.E. license No~~ _
Address ^
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Phone Nb('^`~-'_ ~...__ ~
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Toooaraphical base prepared by _ ~

State license type.and No. Phone No. G~„~ •;r,~ ~f~.~
Address

Soil testing firm

Soil engineer* - P.E. license No.
Address

Phone No.
Engineering geologist, if any*
Address Phone No.
Earthwork quantities (cubic yards) 3,ho..Y~s /N /ys"o ~c `/, ,,.,g57`r, ~r ~-. <_~.-_' ~Y~
Cut %°~ Tc~~ c~/a/~£ Yo,~ TC~ _..~A°7 :, Imported fill f/c,v~

On-site fill moo Te :.:a57(
Exported fill /
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Estimated valuation of grading $ ~- '-` Tc„
Indicate site of disposal of exported fill ~/c,~e CT '~; `~i,'.t: ~Yr~~ /.'gin
Quantities calculated by ~ ~~~~' ~ ~~ ~ P.E. license No.
ACKNOIYLEDCErt1ENT : I hereby acknowledge that I have read this•applicaton and state that the
informatipn I leave provided is correct and I agree to comply with all relevant Lodes and regulations
of Boulder County which regulate grading. Consent is hereby given to boulder County, its officers,
aoents, and employees to enter upon the land for the purpose of such inspections, investigations,
or correcti~ ado th Olhie,Y ding Inspector- of Boulder County deems necessary.
Signature t J1~~~ v~1-~/~ ~~ -
*Per Section 7006(e) 'e(id 7006(f), ._ soil `sand geology reports will be required unless specifically
exempted by the Chief Building Inspector.
VALIDATION: This application, when properly validated and ap roved by the Chief Building
Inspector, is a permit to do the work described for a period of~ fr-om date of issuance
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