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Sanitation District
DATE:
TO: CITY OF FORT COLLINS BUILDING INSPECTIONS DEPARTMENT
FROM: FORT GOLLINS=LO ELANDWATEERDISTRICT
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
(SUBDIVISION NAME)
(BUILDING ADDRESS) (LOT NLLABER)
THE FOLLOWING TAPS PERTAIN TO THE ABOVE MENTIONED ADDRESS:
WATER SEWER
(MARK A1�ROPRIATE BOX)
[g//WATER TAP FEE HAS BEEN PAID; BUILDING PERMIT MAY BE ISSUED:
9--"SEWER TAP FEE HAS BEEN PAID; BUILDING PERMIT MAY BE ISSUED:
PATER 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
SIGNED:
FCLV-JDJSFCSD
PLEASE RETURN TO FORT COLLINS BUILDING INSPECTIONS DEPARTMENT FOR BUILDING
PERMIT.
STRUCTURE /ekr� a a Y - 97
4700 South College Avenue
Fort Collins, Colorado 80525
Telephone 226-3104- 669.4321
FAX (303) 226.0186