HomeMy WebLinkAbout930 Deerhurst Cir - Disclosures/Water and or Sewer - 06/26/1996. INS -
SOUTH FORT COLLINS
Sanitation District
« DV5
DATE: "46--Q6
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
(APPLICANT'S NAME)
HAS APPLIED FOR A WATER AND/OR SEWER TAP FOR pZces u�-
//}} /� �% /� (SUBDIVISION NAME)
(BUILDING ADDRESS) (LOT NUMBER)
THE FOLLOWING TAPS PERTAIN TO THE ABOVE MENTIONED ADDRESS:
/ WATER
(MARK APPROPRIATE BOX)
SEWER
p WATER TAP FEE HAS BEEN PAID; BUILDING PERMIT MAY BE ISSUED:
O SEWER TAP FEE HAS BEEN PAID; BUILDING PERMIT MAY BE ISSUED:
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 DISTRICT/
SIGNED:
PLEASE RETURN TO
PERMIT.
F&F
STRUCTURE
COLLINS BUILDING INSPECTIONS DEPARTMENT FOR BUILDING
t�1_11 _ 4�-o?G- S'4_1
4700 South College Avenue
Fort Collins, Colorado 80525
a� c.daGGi �� v
Telephone 228.3104 - 669-469-4321
FAX (303) 226-0186