HomeMy WebLinkAbout712 Bonita Ave - Applications/Single Family New - 07/15/1985P.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
Lot Area
Corner Lot:
Total Street Frontage (lineal feet)
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Yes No
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Name py�,(,(
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Phone
CONTRACTOR
Address City State Zip Code
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7933 f1 kYJ✓� C/L f�(/(/G I 6,p. STORM �4.�
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OWNER
Name
J^GV41&r CP. YUG• BG� C ��I N�
Phone
PK" 340.64
6VCi )5AYS
Address City H u z °-State Zip Code
P19, )-3V7 fi Collitis Co, gas ,.
Single Family 01 Commercial ❑ Numberof Units: /
USE OF
BUILDING
Multi -Family ❑ Other:
TYPE OF
GasX Electric ❑ Heat Pump ❑ Baseboard ❑ Radiant ❑ Other;
HEAT
WATER AND
SEWER
Water Tap Size:
Sewer Tap Size: A
"Metered ❑ Flat Rate YN
4
Drainage Basin
Gross Area � • 91
STORMWATER
se Rate
Runoff Coefficient'
Detention Reduction Factor
Floodplain
UTILITY
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Yes No
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Utility Fund Number
Storm Drainage Ba in Fee
II completed
by others)
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Stormwater Utility Signat re f
NOTE:
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I understand that the Storm Drainage Basin Fee must'be paid tprior 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 Occupancy will be issued.
Signature ofApplicant:
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Date: `>
DISTRIBUTION 1. Original: Applicant — 2. White: Building Inspection — 3. Gold: Stormwater Utility — 4. Blue: Transportation Utility
— 5. Pink: Light & Power — 6. Yellow: Water & Sewer