HomeMy WebLinkAbout1718 Collindale Dr - Applications/Single Family New - 11/26/1985P.O. Box 580
Fort Collins, CO 80522
IPROPERTY
LEGAL
DESCRIPTION
CONTRACTOR Address
I OWNER
IUSE OF
BUILDING
TYPE OF
HEAT
WATER AND
SEWER
CITY OF FORT COLLINS
NOTICE OF BUILDING PERMIT APPLICATION
rY.U. U.Jl ) / / t&
Single Family
Multi -Family ❑
Yes �
0
Commercial ❑
Other:
Number of Units:
TQTL 129,U_
Gas 10 Electric ❑ Heat Pump ❑ Baseboard ❑ Radiant Other: -
� it tj !/ �fkf.0ti';jb �t7
Water Tap Size: y Sewer Tap Size: J Metered ❑ Flat RateL^L
Drainage Basin -
Gross Area / p
S70RMWA7ER
rTILITY
g ate
I I �1 rU �
Runoff Goefficient
45,
Detention Reduction Factor
'_S
Fioodplain f
Yes No
� Robe
completed
by oiheral
Utility Fund Number
r O v l 11
(' —7 J
1 '"� J�.•++
Storm Drainage Ba
'n Fee
0
�
StormwajejrUtil,itySignature�
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I APPLICANT
NOTE:
1 understand 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
Colorado -registered Professional Engineer, must be submitted to the Stormwater Utility for
approval before a Certificate of Occ an will be issue
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Signature of Applicant,_? )
i
Date: z c za
DISTRIBUTION t. Original: Applicant — 2. White: Building Inspection — 3. Gold: Stormwater Utility — 4. Blue: Transportation Utility
— 5. Pink: Light & Power — 6. Yellow: Water & Sewer