HomeMy WebLinkAbout4000 Granite Ct - Miscellaneous/Fee Reduction - 11/25/1993Services
City of Fort Collins
Building Permits & Inspections Division
CITY OF FORT COLLINS
BUILDING INSPECTION DIVISION
REFUND REQUEST
I hereby authorize cancellation of said permit and/or plan review fee.
further state that no work authorized by the above permit has been done.
am requesting that applicable fees be refunded.
----SIGNATURE OF APPLICANT DATE Al
PERMIT NUMBER
APPLICATION NUMBER
To -Revenue Officer: You may authorize payment in the amount of:
Type of Refund: Plan Review Fee
101-341113
—_ (2�� , nQ Permit Fee 101-322101
�3 3 Sales Tax 9000
4o , 07 Miscellaneous -t? %�
Total Amount of Refund
Mail Refund to: 10A)A)IC-
Fi_
2411_�
*Attach copy of Application AUTHORIZED S G
or Permit
300 LaPorte Avenue - P.O. Box 580 - Fort Collins, CO 80522-0580 - (303) 221-6760