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HomeMy WebLinkAbout1713 Sagewood Dr - Permits/Addition or Alteration - 09/06/1984City of Fort Collins BUILDING INSPECTION DIVISION APPLICATION. FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY Applicant complete this part of form only. Press firmly using ball point pen. Job Address' .. Name ' �5 c Mail Address O 4 Phone q7' Name ` o m Address c 0 U License No. r Phone 2 a Lot ? - - Block Filing Number N Subdivision 0 PUD - aa) J DESCRIPTION OF WORK Stock Options Plan No. Codes Est. Total Cost (including labor, material, profit) I hereby acknowledge that I have read this application and state that the above is correct and agree to comply with all city ordinances and state laws regulating building construction. tY --,_ signed �� ` 'N f' licant Ta9 r- Bld9'`4ns'Distrbution(,Cri final - APPIcant: Blue}ae_ Office: C`narY Ss Tax: Pink A`PP P — CLASS OF WORK New A I tN a on Addition Demolish. Move ❑- ❑ ❑ ❑ Plbg. ec Elec. Struct. Fire Prot. Occ. Gr. Type Const. Use Zone Use of Building Floor Area Height No. Stories Lot Area Frontage Occ. load Occ. Change from Plat File No. No. D.U. Garage area Fin. Bsmt. area Type heat No. Fireplaces or stoves — RELEASES — Dates Zoning Engineering Fire Department Electric Department Water & Sewer Plan Review Special Conditions: p Valuation FEES Plan Check Permit. Parkland "Q City Sales Tax;, St. Oversizing Water Plant Investment Sewer Plant Investment Storm Drainage Electric Underground TtriaitF�es , , Off -Street Parking (No. Cars) Interior Lot ❑ Corner Lot ❑ Reversed Corner Lot ❑ m r m ) `m U) r c 0 PRi t (J .fir:? tipti ITITLC'rl t.'r9 Street 4 i Lie. C O 2 ZBA Case # Date BBA Case # Date Building Insp: -' -' Approval v by j date Sr 9� k ' Permit No. -, t Date f. IN `1 `