HomeMy WebLinkAbout4219 Fall River Dr - Permits/Single Family New - 05/28/1992DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION .
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
ire BUILDING PERMIT
JOB SITE ADDRESS
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Permit Type
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Proposed Use
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Subdivision
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Subdivision/PUD
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Lot
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Last
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Address
555E
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State
Zip
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Company Name
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Address ....
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Zip
PUD
Block
occupant Load Occupancy Separation
No. of Dwelling Units No. of Bedrooms No. of Baihrpams
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Fre.t:
a NEW SINGLE FAMILY RESIDENCE
City
Filing
Tax No.
Height
As a conl Alit the issuance of a permit, 1 hereby declare that I am an owner
or the owneif s agent, authorized to perform the proposed work on the property
described herein. I agree to comply with all the requirements contained herein,
and City ordinances, and State laws associated with such work.I understand that
such permit may be revoked in the event that issrance was based on incorrect
information. This permit shall become null and void if the work authorized by
such permit is not commenced, suspended, abandoned, or not inspected within
180 days from the date of such permit. -
ACCOUNT I FEE
TOTAL FEES
1189.
1840.
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Containment
DEPARTMENT I STATUS
P
REAR
40
R
F'LEFT RIGHT.
FROND
DATE PAID
Lot Area
--Q2%3-121
Plat Fit, No.
DATE
Off St. Parking
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
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