HomeMy WebLinkAbout1244 Saint John Pl - Disclosures/Water and or Sewer - 12/20/1999GotiyINS �L0A
w d
G�
9TER DIS�4~
DATE: /'? -'?e -- R9
SOUTH FORT COLLIN
Sanitation District
TO: CITY OF FORT COLLINS BUILDING INSPECTIONS DEPARTMENT
FROM: FORT COLLINS-LOVELAND WATER DISTRICT
SOUTH FORT COLLINS SANITATION DISTRICT
SUBJECT: WATER AND SEWER APPROVAL
THIS IS TO VERIFY THAT
(APPLICANT'S NAME)
HAS APPLIED FOR A WATER AND/OR SEWER TAP FOR L
(SUBDIVISION NAME)
-� Fr /dd /
(BUIL G ADDRESS) (LOT NUMBER)
THE FOLLOWING TAPS PERTAIN TO THE ABOVE MENTIONED ADDRESS:
/ WATER SEWER
(MARK APPROPRIATE BOX)
Q WATER TAP FEE HAS BEEN PAID; BUILDING PERMIT MAY BE ISSUED:
❑ SEWER TAP FEE HAS BEEN PAID; BUILDING PERMIT MAY BE ISSUED:
Q WATER TAP FEE HAS NOT BEEN PAID; F & F PERMIT ONLY:
Q SEWER TAP FEE HAS NOT BEEN PAID; F & F PERMIT ONLY:
ALL TAP FEES MUST BE PAID PRIOR TO ISSUING A STRUCTURE BUILDING PERMIT.
NAME OF DISTRICTJ)TSTRICTS:
SIGNED:
PLEASE RETURN
PERMIT.
F&F
STRUCTURE
FCLWD/SFCSD
f
FORT COLLINS BUILDING INSPECTIONS DEPARTMENT FOR BUILDING
4700 South College Avenue
Fort Collins, Colorado 80525
Telephone 226-3104 - 669-469-4321
FAX (303) 226-0186