HomeMy WebLinkAbout551 Shadbury Ct - Miscellaneous - 01/01/2000 (3)aGotiylNs-Lod q
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9TER DIS�4~
DATE: / `� C;
SOUTH FORT COLLINS
Sanitation District
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
/ (APPLICANT'S NAME)
HAS APPLIED FOR A WATER AND/OR SEWER TAP FOR �' -y� / �� ��� 7 �� �l f x
(SUBDIVIS NAME)
(BUILDIN
DDRESS)
(LOT NUMBER)
THE FOLLOWING TAPS PERTAIN -TO THEASOVE-MENTIONED ADDRESS:
/ WATER /
(MARK APPROPRIATE BOX)
SEWER
WATER TAP FEE HAS BEEN PAID; BUILDING PERMIT MAY BE ISSUED:
/SEWER TAP FEE HAS BEEN PAID; BUILDING PERMIT MAY BE ISSUED:
0 WATER TAP FEE HAS NOT BEEN PAID; F & F PERMIT ONLY:
0 SEWER TAP FEE HAS NOT BEEN PAID; F & F PERMIT ONLY:
ALL TAP FEES MUST BE PAID PRIOR TO ISSUING A STRUCTURE BUILDING PERMIT.
FCLWD/SFCSD
NAME OF DISTRICTi DISTRICTS:
SIGNED:
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PLEASE RETURN TO FORT COLLINS BUILDING INSPECTIONS DEPARTMENT FOR BUILDING
PERMIT.
F & F
STRUCTURE
4700 South College Avenue
Fort Collins, Colorado 80525
Telephone 226-3104 - 669-469-4321
FAX (303) 226.0186