HomeMy WebLinkAbout4620 S College Ave - Applications/Correspondence - 07/30/1987./�,�. gh�rq-a.•-m•Yv �F .�,. - ti w 9-.0•-.+�'e r• = v.. ^ u.n^7Vaa""+. Y"., ;. �,.
CITY OF FORT COLLINS
P.O. Box 580
Fort Collins, CO 80522 NOTICE OF BUILDING PERMIT APPLICATION
Building Address
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PROPERTY
Subdivision or P.U.D. Filing No.
Lot No. Block No.
LEGAL
DESCRIPTION
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Lot Area
Corner Lot:
Total Street Frontage (lineal feet)
Yes - No
Name
b.e 6
Phone
411113 — `? )b
a �l �' l NG
CONTRACTOR
Address} City State Zip Code
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Name
Phone
K0girJT Itj G-r e-1; -rF1LF-PH0NF, f Tr-4-f&44
1-69g(,
OWNER
Address City State Zip Code
LA)VU C?S
USE OF
Single Family
BUILDING
MultkFamily ❑ Other:
TYPE OF
�'" FFr4T'
Gas;K Electric ❑ Heat Pump ❑ Baseboard ❑ Radiant ❑ Other:
HEAT
WATER AND
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Sewer Tap Size:
Metered ❑ Flat Rate ❑
SEWER
Water Tap Size:
Drainage Basin
Gross Area
d O /W40 Arw A
1 �'
STORMWATER
Base
e Rate
Runoff Coefficient
Detention Reduction Factor
Floodptain
UTILITY
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d1
74)
jro
Yes Nf O
r3 t�% /
G ,
1
(To be
completed
Utility Fund Number
Storm Drainage Basin Fee
by othem)
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Stormwater Utility Pignature
r
CT riK 'f"? art
TOTL 77.67
NOTE: CKCt; 77.67
understand that the Storm Drainage Basin Fee must be paidljRlerR6 t ie'.issbance of a Cer-
tificate of Occupancy. I further understand that if drainage impEov_ements 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 Certificate of O�ncywuill� d.
(!f
Signature of Applicant,
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