HomeMy WebLinkAbout3530 Colony Dr - Applications/Single Family New - 11/26/1984P.O. Box 580
Fort Coffins, CO 80522
PROPERTY Subdivision or
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DESCRIPTION Lmv I-6i
CONTRACTOR IAddress
OWNER
USE OF
BUILDING
�s
CITY OF FORT COLLINS
NOTICE OF BUILDING PERMIT APPLICATION
44,VCA erg
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Single Family M
Multi -Family ❑
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Yes . qo
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Commercial ❑
Other:
Im
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of No. Block
(lineal feet)
'hone
Irelk
Number of Units:
Zip
TYPE OF
HEAT Gas ❑ Electric Heat Pump ❑ Baseboard ❑ Radiant ❑ Other:
WATER AND
SEWER Water Tap Size: Sewer Tap Size: Metered ❑ Flat Rate❑
Drainage Basin
Gross Area J
STORMWATER
TILITY
B se Rate
[�-y
Runoff Coefficient
Detention Reduction Factor i L - -)Gf
p�
- -'Fioodplain
"YI S
�No
ra [�
.Ot?f;iS_reJ 3,?r4�a
Yes
(To be
completes
Utility Fund Number
(k� '7
Storm DrainagsBasinX '
by *the rs)
5 0 - (4
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Stormwater Utility Signature
APPLICANT
NOTE:
I understand that the Storm Drainage Basin Fee must be paid prior to the issuance of a Cer- I
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
Colorado -registered Professional Engineer, must be submitted to the Stormwater Utility for
approval before a Certificate of ccupancy will be issued.
Signature of Applic t G� r�
Date:
DISTRIBUTION t. Original: Applicant - 2. White: Building Inspection - 3. Gold: Stormwater Utility - 4. Blue: Transportation Utility
- 5. Pink: Light 8 Power - 6. Yellow: Water & Sewer ;