HomeMy WebLinkAbout6570 Rookery Rd - Correspondence/Water and or Sewer - 06/13/200506/13/2005 14:55 FAX 970 226 0186 FCLWD SFCSD Z002 �
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FORT COLLINS'LOVJELAND WATER DISTRICT SOUTH FORT COLLINS SANITATION DISTRICT
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DATE: !T'�
TO. CITY OF FORT COLONS BUILDING INSSPECTIONS DEPARTMENT
FROM: FORT COLLINS - LOVELAND WATER DISTRICT
RE: WATER AND SEWER APPROVAL
THIS IS TO VERIFY THAT
(APPLICANT'S ME)
HAS APPLIED FOR A WATER AND SEWER TAP FOR Gk�1L J. _l4Xoe
f� Road
(SUBDIVISION NAME)
&5,70 repo6uy bT 7 8/ope ) z-
(BUILDING ADDRESS) (LOT NUMBER)
THE FOLLOWING TAPS PERTAIN TO THE ABOVE MENTIONED ADDRESS:
WATER ✓ SEWER
(MARK APPROPRIATE BOX)
.S
WATER TAP FEE HAS BEEN PAID, BUILDING PERMIT MAY BE ISSUED.
EaSEWER TAP FEE HAS SEEN PAID, BUILDING PERMIT MAY BE ISSUED.
ALL TAP FEES MUST BE PAID PRIOR TO ISSUING A STRUCTURE BUILDING PERMIT.
NAME OF DISTRI,/CT / DISTRICTS: FCLWD ! SFCSD
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SIGNED: '!l/i�/1i!B _'Zl'm'A.0-�Fonj
PLEASE RETURN TO THE CITY OF FORT COLLINS BUILDING INSPECTIONS
DEPARTMENT FOR BUILDING PERMIT.
E?f STRUCTURE
PRESSURE REGULATING VALVE REQUIRED
a5150 Snead Drive Fort Collins, CO 80525 Phone (970)226.9104 Fax (970)226.0186