HomeMy WebLinkAbout419 Saturn Dr - Miscellaneous - 02/08/1995SOUTH FORT COLLINS
Sanitation District
DATE: I- y
TO: CITY OF FORT COLLINS BUILDING INSPECTIONS DEPARTMENT
FROM: FORT COLLINS-LOVELAND WATER DISTRICT
SOUTH FORT COLLINS SANITATION DISTRICT
SUBJECT: WATER AND SEWER APPROVAL
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
THIS IS TO VERIFY THAT yam,¢ � z/ C;:14c' -
(APPLICANT'S NAME)
HAS APPLIED FOR A WATER AND/OR_ SEWER_ TAP FOB_�,t _ �_✓ ,�l/ - 7�P_
(SV IVISION NAME)
(BUILDING ADDRESS) (LOT #)
THE FOLLOWING TAPS PERTAIN TO THE ABOVE MENTIONED ADDRESS:
WATER `� SEWER
(MARK APPROPRIATE BOX)
Q W TER TAP FEE HAS BEEN PAID; BUILDING PERMIT MAY BE ISSUED;
SEWER TAP FEE HAS BEEN PAID; BUILDING PERMIT MAY BE ISSUED;
WATER TAP FEE HAS NOT BEEN PAID; F & F PERMIT ONLY;
SEWER TAP FEE HAS NOT BEEN PAID; F & F PERMIT ONLY;
G�
ALL TAP
FEES MUST
BE PAID
PRIOR TO ISSUING A STRUCTURE BUILDING
PERMIT.
_
NAME OF
DIURICT/DISTRICTS:
/s y��
FCLWD/SFr' DD
J
SIGNED:
--�
42 —_�
z,lL .
PLEASE RETU
N TO FORT COLLINS
BUILDING INSPECTIONS DEPARTMENT FOR
BUILDING
PERMIT
F & F
STRUCTURE_
4700 South College Avenue
Fort Collins,Telephone
04 80525
Telephone 226.3104 - 669-4321
FAX (303) 226.0186