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5209 Country Squire Way - Correspondence/Water and or Sewer - 07/27/2005
7 ..,, 7, ,�.° _. FORT COLLINS•LOVELAND WATER DISTRICT v SOUTH FORT COLLINS SANITATION DISTRICT DATE: I -')17' " TO: CITY OF FORT COLLINS BUILDING INISPECTIONS DEPARTMENT FROM: FORT COLLINS - LOVELAND WATER DISTRICT RE: SEWER APPROVAL THIS IS TO VERIFY THAT (APPLICANTS NAME) HAS APPLIED FOR A WATER AND SEWER TAP FOR (SUBDIVISION NAME) <' J / j i ..j i /© /-3 (BUILDING DDR SS) �,' [! (LOT NUMBER) THE FOLLOWING TAPS PERTAIN TO THE ABOVE MENTIONED ADDRESS: SEWER (MARK APPROPRIATE BOX) D WATER TAP TO BE PURCHASED'FROM THE CITY OF FORT COLLINS. SEWER TAP FEE HAS BEEN PAID, BUILDING PERMIT MAY BE ISSUED. ALL TAP FEES MUST BE PAID PRIOR TO ISSUING A STRUCTURE BUILDING PERMIT. NAME OF DISTRICT / DISTRICTS: SIGNED: / PLEASE RETURN TO THE CITY OF FORT COLLINS BUILDING INSPECTIONS DEPARTMENT FOR BUILDING PERMIT. /STRUCTURE r -] PRESSURE REGULATING VALVE REQUIRED i150 Snead Drive Fort Collins, C-10 80523 :'hone (970)2'6.3104 Fax (970)226.0186