HomeMy WebLinkAbout7224 Streamside Dr - Miscellaneous - 11/25/1996 (2)a� otiyixs-La��q
o SOUTH FORT COLLI S
w e
Sanitation District
9TER DIS`S4~G
DATE: zz-_ ZE f
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 �/ C�f�7zQ ��-u c �-7'L1
(APPLICANT'S NAME)
HAS APPLIED FOR A WATER AND/OR SEWER TAP FOR , C! Lee C_
(SUBDIVISI`ON NAME)
(BUILDING ADDRESS) (LOT NUMBER)
THE FOLLOWING TAPS PERTAIN TO THE ABOVE MENTIONED ADDRESS:
WATER SEWER
(MARK APPROPRIATE BOX)
❑ WATER TAP FEE HAS BEEN PAID; BUILDING PERMIT MAY BE ISSUED:
El SEWER TAP FEE HAS BEEN PAID; BUILDING PERMIT MAY BE ISSUED: 3?
WATER TAP FEE HAS NOT BEEN PAID; F & F PERMIT ONLY:
SEWER TAP FEE HAS NOT BEEN PAID; F & F PERMIT ONLY:
ALL TAP FEES MUST BE PAID PRIOR TO ISSUING A STRUCTURE BUILDING PERMIT.
NAME OF
yva 4--R_� r °'^„ f
/DISTRICTS: F�..�� 1 y
1 ,
SIGNED: �
PLEASE RETUIN'/TO FORT COLLINS BUILDING INSPECT IONS DEPARTMENT FOR BUILDING
PERMIT.
F&Fi
STRUCTURE
4700 South College Avenue
Fort Collins, Colorado 80525
Telephone 226.3104- 669.4321
FAX I303I 226.018-&