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HomeMy WebLinkAbout719 E Vine Dr - Permits - 04/23/1991DE JOB SITE ADDRESS = F Perm t TYpe . Subdivision PUD Subdivision/PUO c� J Laflt lf+l lv-L !:ritiyli ae Z Pddrese O State Zip ]] Z O " U =PJT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION P.O. BOX 580, FORT COLLINS, CO 80522-0580 221-6769 _ BUILDING PERMIT Vi. � liti Work Ty Ny_.J____ _._ Use Zone Filing CIIY _°_L 1 �7 472-2 9t 1 Sal LEFT We - Lot Area - Plat (de No. Off St, Park State: fag No, L} Fine Sprinkler eu'cl Jquare rootage No. of Stories Bldg. Wgh[ L *y ' t i uV O O 3 u N O Z O T a r1 Load w' Casa Np' 09- 0958 /l IV N �°ereft T_ 23, 1991 Separation As a cond' ion for the issuance of a permit, I hereby declare that I am an owne 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. TGr, Stock SITE SETBAC REAR FRONT RIGHT CALL 221-6769 TO SCHEDULE INSPECTIONS (See reverse side for Inspection Description) iJ(_ E iV G