HomeMy WebLinkAbout2748 Canterbury Dr - Applications/Correspondence - 05/15/1987CITY OF FORT COLLINS 2.6 - 3
P.O. Box 580
Fort Collins, CO 80522 NOTICE OF BUILDING PERMIT APPLICATION
. ` .
Building Address
PROPERTY
Subdivision or P.U.D.
Block No.
LEGAL
DESCRIPTION ��
A -Pe S s =C�S�
LoVArea
Corner Lot:
Total Street Frontage (lineal feet)
�IqQ0
Yes No
W4 1
Name
Phone
1 OS IJ
p
3 0
CONTRACTOR
Address City State Zip Code
Name
Phone
l �S
3 ._ —71
OWNER
Address City State Zip Code
3h h ►-* 0I osas-
Single.Family .m Commercial ❑ Number of Units:
USE.OF
BUILDING
Multu i,Family ❑ Other:
TYPE OF
HEAT
Gas ❑ Electric Heat Pump ❑ Baseboard L�l Radiant ❑ ,Other:
//L$'
WATER ANDj'
/ 1(
❑ Flat Rate❑
SEWER
Water Tap Size:
Sewer Tap Size:
Metered
Drainage Basin °
Gross Area
415TORMWATER
Base Rate
Runoff Coefficient`
Detention Reduction Factor
Floodplain j
UTILITY
s � {"t
0.41A
Yes No
fro be
completed
Utility Fund Number
..
Storm Drainage Basinfee za
...
� 6%. -
by others)
x f
: . k $5.67
W,. ; A
Stormwater Utility, Signature
i
;r.,n�s
.' F ..
� 02 `0
NOTE:
(/
I u� erstand that the Storm Drainage Basin Fee must be paid prior to the issuance of a Cer-
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 Certificates of Occupancy will be issued.
Signature
ofApplicant:.�`'�/�t
Date:
DISTRIBUTION 1. Original: Applicant — 2. White: Building Inspection — 3. Gold: Stormwater Utility - 4. Blue: Transportation Utility .
— 5. Pink: Light & Power — 6._ Yellow: Water & Sewer