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Home My WebLink About2631 Little Bear Ct - Applications/Reroof - 10/19/201110/18/2011 20:04 FAX 12001/001 cft�F *E: �ot I i n�s Planning, Development & Tnw or— radon 281 N. Cal kgo Ave P.D. Door 580 Fort Collins, CD 80524 Phone 970.416.2740 Fax 224-6134 OVER-THE-COUNTER PERMITS ONLY Ti b Mplic"on in to too used to Apply for the ftHOwing 11--he only (&hook all that apply). 0 Air Conditioning Q Immdftlon (intarlor rtof}sVuot<rnsl) C3EI= icAl A6entlton (not service chenpe) II one U"r ❑ Gas Log O HeaOino Unit 0 Lawn Sprinkler G Mobile Home replacement )i(Roefing 0 Sewer Une C3 Photo-volralo 0 VerMiadon C3 Water Nectar ❑ Wafer Urn D WoodlPellet Stove (must be EPA certrHed, proVido make, modal and manutacturrr). - Compba alp OPPlinshis Ation on the Ikpdon. Inoornplete &W10 lone will not be aooapted. Appika ftn #_ fall 0f yq I1j 80 oat. -Waf m Ass a* —~= >al Sall Addragq; PmPerty Owner Name pddress APPOCart Nefft - Addrim Contractor Uc # Address Corbac'tor city of Pt C 619M Sales Tax # SAW bornmMirklax aseyadct»bac>tvx 41-t_ Vako of ComtruWon pabor, matanafs, M&rt) C1tY/StM T+' (t; i l l y *i S ZIP Phone BE Crr.Y/Stabs F- i -� C i,i'r ? 1 ZAP &)C FD Z q Phone 01 r1 Ayc , S-7 C, - 4 5'.) : Z bO 1 Are you paying taxw here or by report? Mere © Report Are you paying with your trust account? 10 Yes WNo Is this a roe rilal or PVQ*W Reddeneal O (brnmeraal If rmiderrelal, Is it: slnola farrhilyO Cardo/oownhonle (single family attached) a Duplex Must mn* (apartawt) O Genge If mmnfwr!>a, is rt . O sank O ser 17 Church 13 rrovWmom O MedicM olfloe ❑ Wks E7 RGftU 0 RasmAint 0 other ( ) to this bufdity 90 yrm of "a or more? ❑ Yami No ayes youaw flood lb amend NAMO r pnlhsl W&M7 If this is for a Laes+eiltlen panNt; what year wax Ing cons h uded? Ophtr ao 107, yea *0 ruled an aweee ,rent a, srAW* **h L,er aigalfoeWn. *V lawn spru WW/bec>alow preveMV, must.8st ftcwmd.plurrbW. if flnx-tlme A/C, must list licensed elect idan. Mfgbyraw orCftYofPr line W# dden ftdw Plumber Med,anlml V. � ReOtl1er 1 haeby adve wWpe diet I have read ttia applicadon and state !that the ebefe Infwmatlm 19 complete and Wff" to a 00* with all rfa*drunu is mntalnad helm and dty vrdaanoes and stabsws tarVA0np budln9 mnabu�o . pwmitIs not vaW 40112It has boon Maid and lenwd.