HomeMy WebLinkAbout746 N College Ave - Correspondence/Building Inspection - 04/04/1995Community Planning and Environmental Services
Building Permits and Inspection Division
CITY OF FORT COLLINS
BUILDING INSPECTION DIVISION
I hereby authorize cancellation of said permit and/or plan review fee.
I further state'thi t-ho'wbrk authorized by the above permit has been
done._ I am requesting that applicable fees be refunded.
dJ.
Signat re of Applicant
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Permit Number
qLille
Data
Application Number
To Revenue Officer: You may authorize Payment in the amount of:
Type of refund
Plan Review Fee 101-341113
Permit Fee 101-322101
Sales Tax 90000
Miscellaneous
Total Amount of Refund
AUTHORIZED SIGNATURE
*Attach copy of application or permit
281 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522-0580 • (303) 221-6760
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