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HomeMy WebLinkAbout500 Riva Ridge Dr - Applications/Reroof - 08/05/2013�0f ��s J PLOW 970-41&2740 Fft 224. LU OVERiaTHEnCOUMER PERMS ONLY :Ids opftabn is W be used to apply I" ft p MW (*look aff tlmt �rj. ©A� O.Dt on%tenon-s nag Cftldkbfwg O A (W ) O Gas u ❑ Gm O Heaktrg 1h1 ❑ IBaRt Sprinkler0 i 7e Ftorne rLw ❑ Roofing Q Sewer LWo o ptla wmmwc ❑ Van ❑ Water Heater 0 Water tine 0 WoodlPeW Stove (must be EPA oerti pfm*w make, model and t Pis tlom tarts"be amq" d. AppHCa1Tw. I Date�' ��—� 3 /4arad7Aca two* _ wit lredJ . 0 1 V14 P-t D4 �,J Value of Owl (tabor, rt profi�J $ r aa, k opettp A�1 A-LSP&zTT 5Do-fld# Phone 2(��' 6&-t1J- e,9s4 CPc fzz ApplCitit ilam _. Address Phone LWlLD t� a �� 12Y-4,9- Con actr r uc # Address Clfyjstate 230 Phone jevxS oQj r-1173 yr Chador City of FL Collins Sales Tax Saus�rnrw�era�aWi,+��a9m traunrs Are You paling taxes here or by rat? X(ifte ❑ Report Are with tnl aaoaoffi? 0 Yes No you paying your . Is tills a or commercial pm*W ttftidendal ❑ ('onus If residue, is t: 199r>gle W* Opted 0 C nWwwnhome (sk * famdY aWeted) 0 ❑'MuManh+ (ap ) 0 Garage If comenendal, is it ❑ Bank ❑ Bar 0 Ctaurh 0 HoWMotel ❑ Medial office ❑ W" 0 ROW 0 Restaurant 0 hitter is ifft WUdlng SD years of age Or more? 0 Yes 11 `Y�. � ntayrrer?�d � m�Fdd f�TcR®areeadforr If d is is for a defiant Permf t, what Year was the buildbv oonsuucted? If�r 1p i9T5, ytw w� iree0an atsbees� arrtm wAfi t� � 0 *If lawn gwdder(bacldtw prewenter, must IU aartsed per. If fast -time AK, must bst Momed ded cbM I trw&yadawvAedgedot I have read thm apPbmbm and a that the above trdbrrrtamw is and aorredt I agree to cornpW wan au requkeffmft oo+dabied tcere b and city ardimarnes and state laws MWAatt W.tzdsg mMWUC ion. I la a verma ra not „aW ado It has been paid and blue . Data