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1733 Lindenmeier Rd - Permits/Reroof - 11/30/1988
City of Fort Collins APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY Applicant complete this part of form only. Press firmly using ball point pen. Job Address 1733- Name d c Mail Address JGf.VA o Phone b�•- 7j(p�p� Name -rL S S 2• Address '�/Q �� • Co. L> U t�Ur' License No. S _(p 7 `� Phone 7y-777 Contractor Sales Tax No. J, 1'7YS �°- n Lot Block Filing Number d Subdivision 0 n PUD m 3 ©— DESCRIPTION OF WORK Stock Options Plan No. Codes Est. Total Cost Sl7 (including labor, material, profit) I hereby acknowledge that) have read this application and s that the above is correct and agree to comply with all city ordi a esand a la s regula ing building construction. signed date BUILDING INSPECTION DIVISION — CLASS OF WORK — - _ New Alteration Addition Demolish- Move ❑ ❑ ❑ ❑ ❑ Plbg. Mech. Elec. Struct. Fire Prot. ❑ ❑ ❑ ❑ ❑ Occ. Gr. Type Const. Use Zone Use of Building Floor Area Height No. Stories Area Frontage Occ. load OCCVgh ge from Plat File No. No. D.U. Garage area Fin. Bsmt. area Type heat No. Fireplaces or stoves — RELEASES — Dates Zoning Engineering Fire Department Electric Department Water & Sewer Plan Review Special Conditions: Valuation FEES Plan Check Permit 2 Parkland City Sales Tax 19. St. Oversizing Water Plant Investment Sewer Plant Investment Storm Drainage Electric Underground Total Fees Off -Street Parking IND, Cars) Interior Lot ❑ Corner Lot ❑ Reversed Corner Lot ❑ ya w _'v <1-1 —,> m � d to T y `c 0 Street PkMTS 25.00 TAXPM 19,93 TOTL 44.93 CHUN 449542 09:28 A o iNOV.30188 a ZBA Case k Date BBA Case # Date Building Insp. Approval by k date Permit No. Date Distribution: Original - ApplicarV Blue - Office, Canary - Sales Tax:.Pink - Applicant: Tag - Bldg. tusp.