HomeMy WebLinkAbout3531 Dark Star Ct - Permits/Single Family New - 05/23/1991DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
BUILDING PERMIT
JOB SITE ADDRESS
F- Permit Type
aProposed Use
Subdivision ❑ PUD
a Sandiwsiori
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Lot Block
Last _ First
ZAddress
State Zip
¢ Company Name
U Address
z0 ZiP Phone
Filing,
LEFT
tit Level
Building Valuation
No. ACCOUNT FEE [SATE PA10
Lot Area
City .k''„'/L Uc iAND F.
Phone No.
Contractor License No. WAT R i °: I p 6
SEWER 9 Z F x600.:0
City _ — _ State _ ` t:
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Sales Tax No.
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Construction Type
Occupancy Group
Fire Sprinkler
Building Square Footage
No. of Stories
Bldg. Height
TOTAL FEES„
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¢
Occupant Load
p
Occupancy Separation
Area Separation
Fire Containment
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ry
No. of Dwelling Units
No. of Bedrooms
Fireplace/Stoves
Basement
Stock Plan
Options
C
Z
—
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Text:
No.
Case No.
tit Date
LYLI'l1i1 r r "im r
As a condi o for the issuance of a permit, I hereby declare that I am
an owner or the owner's agent, authorized to perform the proposed
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work on the property described herein. I agree to comply with all the
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requirements contained herein, and City ordinances, and State laws
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assocla d with such work. I understand that such permit may be
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N"DILIlt - AN
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revokin the event that issuance was based on incorrect information.
A I4rvynTIT N'_
File No.
St. Parking
SITE SETBACKS
REAR
FRONT
D
RIGHT
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
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