HomeMy WebLinkAbout2019 Cheshire St - Applications/Reroof - 09/26/2011Sep.26. 2011 I:IOPM ADVANCED ROOFING planing,Development&Trarsjj�''1638n P- 1/1
PCity of 291 N. Coilece Ave P.O. Box 560
ort Collins Fort Coilins, Co 60524
Phone 970-416.2740 Fax 224-6134
OVER-THE-COUNTER PERMITS ONLY
i nis application is to be used to apply for the following permits only (check all that apply). E] Ai, Conci`ien,rg
miA;ii0n ^CL ScrJCO C^cfC@) ❑ r..2S Lighter CdS �^CP;u'c;c
C: Heatln^y Unit - Lawn S Dru,kler ;- Mctiie ; iorne rac(acem-ent FE RooiirG ! ' Sewer Une Fiioto-`Click
❑ Vertlla:ion C Wpc =-r 'i ater D W/ ter'ine L Wccc/Fa(iet Stcve (r e �:f =d, provide ma d a l-Si b., _ CE 1C,3t mo cl and
manufacturer).
Complete all applicable infcrmaticn on t`e applicatior,. Incccnpie'.a applic=-`ion will not he accepted.
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Ars you paying t?xes
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Are ycu flaying wit-i your ?;'. _L ac_Cun.? Yes
❑ No
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Is tills a residenti2f or�CjJ[mme d2l prc12�? L2,aaSidentai [ICcmm:, era
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� I` rs dentzl; i$ incle Far dly Co�Y&led ❑ Clordi:�tpWm;ncrr�e (Singia Ic1111v c-HCSE�) ❑ LU IeX
❑ Multjarnily (aoa'-miertL) ❑ Garage
11 CChnle"rdai, is it; ❑ Ba-k ❑ Car ❑ C79r;h ❑ ❑ oRiC2 Lu01=5C2 Cl pat"
❑ Res`u ant ❑ Other (ta-,7ia!n)
is this building SO years of age or ,T.cr_? 7 Yes 7�,Ne I`yas, ycu ray n2_!fw care Njs orjc
I` tnls isfor a demeiition permit, What. year was the building czCs'ti a -?
li prcr rc 3975, you w;7/nee an F5,5sos as_essn, CyrtO SUCr,7lC Vi%u ii7%S e,:F/%CaCiCi r.
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*If 12w� 1 s':r ij kia-j I.iaceow ';r8V9nter, inust INS, licensed nh_ ,mve.'- Y (irst-u,Tte A/C, tnC- IisL kense eie-,r;Clan.
SubC=❑t.'aC Crs: G'iE Cd'rcny Gcre cr Ci<`y cf Fc C. i&"Is lic=r.•se .r
C:e �'iczn r Ur„ er Mcc`,z:.ical RCO-U Y Z(yi2f�nL Ome:
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I f C Y 2C,4 GY! _Ge Ia a •/_c i-_ iiI- Z IIC2iiGn a:w $._-_ cL Lnc c_CVQ IGiC(; ation IS CCrr:Fiete and co,-,1 acres tb
npiy W1L5 ZII r Uirc u cr.:air,_t ne. End- G./ CCCIncnG N!_ icy_,a uUll�lriG cG JCL.Cn. I know that a
permit is rot valid until it has been raid and iss:le�,
Applicant:
Print Narne; PE�er Sic, a --
Data