HomeMy WebLinkAbout3424 Carlton Ave - Applications/Duplex New - 03/03/1987P.O. Box 580
Fort Collins, CO 80522
CITY OF FORT COLLINS
NOTICE OF BUILDING PERMIT APPLICATION
Building Address
PROPERTY
Subdivision or P.U.D. Filing No.
Lot No. Block No.
LEGAL
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DESCRIPTION
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Lot Area
Corner Lot:
Total Street Frontage (lineal feet)
Yes �PI�
Name
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Phone
?-3
CONTRACTOR
State Zi Code
Address City p
Na
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U�or>/ Gti "w
lAddress
phone
-2,3 _ 2 2j 6
OWNER
/ City State Zip Code
Single Family ❑ Commercial ❑ Number of Units:
USE OF
BUILDING
Multi -Family Other:
TYPE OF
Gas ® Electric ❑ Heat Pump ❑ Baseboard ❑ Radiant ❑ Other:
HEAT
WATER AND
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n
41
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Flat Rate❑
SEWER
Water Tap Size:
Sewer Tap Size:
MeteredL'�]
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Drainage Basin
FOOTHILLS
Gross Area j
IS47 sq.-ft.
STORMWATER
Base Rate
Runoff Coefficient
Detention Reduction Factor
Floodpiain
UTILITY
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Yes
(ro be
Utility Fund Number
Storm Drainage Basin Fee
completed
0_
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by others)
ST€14�i i 149X99
Stormwater ignature
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N28866 15=27 A
NOTE: APR.09'87
understand that the Storm Drainage Basin Fee must be paid prior to the issuance of a Cer-
tificate of Occupancy. I further understand that if drainage improvements are required for
this site, two (2) copies of a drainage report and a drainage plan, signed and stamped by a
APPLICANT
Colorado -registered Professional Engineer, must be submitted to the Stormwater Utility for
approval before a Certificate of 0�cy will be issued.
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Signature of Appliicant:'
Date: 3 3 ��
DISTRIBUTION 1. Original: Applicant — 2. White: Building Inspection — 3. Gold: Stormwater Utility — 4. Blue: Transportation Utility
— 5. Pink: Light & Power — 6. Yellow: Water & Sewer