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HomeMy WebLinkAbout1145 Berwick Ct - Applications/Reroof - 09/11/2013.� Z=J3 Planning, De+►eloprn0*8t Transp*d d1on � •-�„ For N. t Ail2ge Ave P.O. Box 51i0 �"�a� Fort CoIIfnS, CO �4 "` phone 970-41fr2740 Fax 224-6134 OVER1JIM&COU�R PERMS ONLY its chedt ail that apply)• D Air Conditroning This apPhDn rs to 6e used tp apply the following perm onh► D Gas Lighter ©Gas Log O Demolition (inWOr non-strucb�'a1) C]:Etectrical Alteration (not sar�rRo change) ❑ Heatlng Unit ❑ Lawn Spr9nMar ❑ Mobile Home Feplacerrtent ❑Roofing D Sewer lane ❑ de make, m 13 Ventilation D Water HeaW Q Wader Line ❑ Wood/Pellet Stove (must be EPA certitied, provide make. model and manufacturer)_ a Complete an appUcable inforinatlon fine appiicaan. Incomplete 010110660 wiB not be accepted' _ bate Ucation # App For OMMMOW �.. 301r MWAddreo (mWkeV property Owner Name Address Address Ad ass a al �pCOnO� rr�Cityy of FL Collins Sale$ Taxi � � �ruonbr'rlsres7rdt+'d bY� Value of COr MucW? i"I mnweck", F.—W. City/state zip CRY/state zip 1�Pnn! 4 Are You paying taxes horeor by report? Are you WWI your 6vst account? phone phone � �T- Coons C9-Fi"ere n Rapm D Yes 13 NO is this a ressidetrW Or cu'nWp � r'o� ' derrtial 13 Cvmmetdal If resdenfal, Is it &I Farngy �� D Condo%Cownhome (angle f�milY a�adred) ❑ Duplex p MuWaI (aPerrent) ❑ C13rage If cotrin>erdal, is iC 0 �u r Cl Churrother (exDpte OW140W Q Me cal ofl9oe d office D Retail 13 is this building so fern of a$e_°f more? M Yes es � �ys0W if this is for a demolition pr�n&� What year VMS the L�prioria rok 1075, Yin �teed an f bm/t WM bw 4p*8tx *If lavun inklwfbaddfow P am' noel list Iiaensed plumer. b If finely Me A/C; r4e Ust ucerged e1cctrwan. tCWW.lairarPffnY✓rameor'Ch'afFf /AMWXW 0 II ebY admoI Brat I have oxr* wfth all regrorements oarst oaf is sot valid ur1W R das this appikajim and state ttof the above hnfonn IUM ls, oompeft and aore& I agree W bolding won. I Imow that a herdn and city� and sty laws regulatir'b9 r paid OW Issued.