HomeMy WebLinkAbout5812 Southridge Greens Blvd - Permits - 10/16/1996s
Community Planning & Environmental Services BUILDING PERMIT
Building Permits & Inspections Division
P.O. Box 580 221-6769
city°t F.�.� °tom Fort Collins, CO 8052M580
JOB SITE ADDRESS 5812 SOM I iR IDUE GRELNS !sL)
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0963752 U PermitDIMTOISER 16, 1996
As a condition for the issuance of a permit, I hereby declare that I am an owner or the
owner's agent, authorized to perform the proposed work on the property described herein.
I agree to comply with all the requirements contained herein, and City ordinances, and State
laws associated with such work. I understand that such permit may be revoked in the event
that issuance was based on incorrect information. This permit shall become null and void if
the work authorized by such permit is not commenced, suspended, abandoned, or not
inspected within 180 days from the date of such permit.
Signature Date
BLUG PERMIT f-LAI
GI Y ;BALL`; USL Ii
COUNT`( SALES TAX
15.00
SETBACKS
REAR
LEFT
FRONT
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File No.
St: Parking
RIGHT
TO SCHEDULE INSPECTIONS
(See reverse side for Inspection Description)
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