HomeMy WebLinkAbout2519 Cedarwood Dr - Applications/Single Family New - 03/03/1987P.O. Box 580
Fort Collins, CO 80522
CITY OF FORT COLLINS �7Cj
NOTICE OF BUILDING PERMIT APPLICATION
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Building Address
'.51 Cam.YJAf2,WO�ib
PROPERTY
Subdivision or P.U.D. Filing No.
Lot No. Block No.
LEGAL
DESCRIPTION
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W 3
Lot Area'
Corner Lot:
Total Street Frontage (lineal feet)
/Z
Yes No
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Name
Phone
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( Grl- I Wo
CONTRACTOR
Address City State Zip Code
[�
3sa% A70MAvi �OJ�LANb 0—,3\0 �by C7`l3�
Name
Phone
S�
OWNER
Address City State Zip Code
Single Family Commercial ❑ Number of Units:
USE OF
BUILDING
Multi -Family ❑ Other:
TYPE OF
crrlr,•1 L�45.3<
Gas Electric ❑ Heat Pump ❑ Baseboard ❑ Radiant ❑ Other:
HEAT
WATER AND
3/
CHCK 1045.32
t At ied`❑ll 71
Rate
SEWER
Water Tap Size: 1
Sewer Tap Size: .42
PS�i:'
Flat
D 64i a Basin .TAT I ON
Gross Area
i q 14,
STORMWATER
Base Rate
Runoff Coefficient
Detention Reduction Factor
Floodplain
UTILITY
M59375/ acre
i•091
Yes No
(To be
Utility Fund Number
Storm Drainage Basin Fee '
completed
a'siff��-t9'7'ft'rv'.t
q�s.�.2
by others)
Stormwater Utilit ignature
,
NOTE:
1 understand that the Storm Drainage Basin Fee must'be paid prior to the issuance of a Car-
tificate of Occupancy. I further understand that if drainage improvements are required for
this site, two (2) copies of a drainage report and a drainage plan, signed and stamped by a
APPLICANT
Colorado -registered Professional Engineer, must be submitted to the Stormwater Utility for
approval before a Ca Ific to o� f Occupancy will be issued.
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Signature of Applicant, —
Date: Z �_ D
DISTRIBUTION t. Original: Applicant — 2. White: Building Inspection — 3. Gold: Stormwater Utility — 4. Blue: Transportation Utility
— 5. Pink: Light & Power — 6. Yellow: Water & Sewer