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HomeMy WebLinkAbout3821 Lochside Ln - Applications/Reroof - 03/03/20142 nfa n 1. ....._..._.-.—. tarty Ott+ i :281 N. College Ave P.O. Box 5.80 oottm Fort Coffins, CQ 80324 �'.!Y. ��qY�N/. ~ :.::•: u M1� v.n:•�c-s-.�.a��w- -.r. - _ti � yam= This application is to t+e_used tn'aQoly far fhe fallpsd r ! nriin A. inPewL ill iboi y.i#ahr : f i-[ar C nLYL^^dlin = -.51?eRl6%nSOe: jl(..v Ct.N !!#it L7 1r.S�7 �vY ..'fzof s }.fin r, taSo r rI oc .. ,fit. .. .... ... .... �-•} +fir ��� R1 / f n 191M1/ .I YY� YI C�:�l ..� GF1A ..+. YC 1 ....h L... -.d A.e,..A -i.1-'Y_C_(1i2eg�4A'I_":t'�--.'_ _ z .:iih vs�•.. ,Y-�. r �.. l� Cr�''r _ _ _.. _.. ..._.: manufaeiS�Cerf,.: �... !"fmt3tgtgi14llrn�ila_ifrx�eninn_r}_n tfyg annl�ra4ino_ i?I�rylolR-pn�}(�n?tinny �+.itl a6f_ha.arcantPtt .......... :.CaWll.-1115 For oft e,use oNY Job Srte Addressrexj�rretlj Via: '. r Property Owner Name Address C'rty/State Zip Phone Applicant.Name Address City/State Zip Phone Contractor Address ^T— Cityflstate Zip Phone i)(� �. r4�`�YC;Yt tom. ^l1'i e ; f r"f,. tr firF:.L sr+. is iC•Sl ,.'.� i i? �� 'rs� ax J. L�dL ... Tom....-.-,.w:+.+-�-.�.-1.,1;:....... ... .. .. ... ..... .. Contractor C+ty:of Ft Ct?ftilts sate Tax?f Are you:paYirig taxes here nr by repcxt? fiQ Here' .a Report $al€staxnfmb'ererrVLOPW anrnraexps: ateyou-pdyi%:Y)i-hyourtrus#accqunt?XYes 0No is this a n�deiitiai Qrcommerclat. Rro)ea? �C Resfdentlal :f�.Comrr eeciak if resideritlal is it 19 Single Family Qetached ©CJrn io/t6avzll one (s3ngle.famiEyattached) 0 Quptez ❑ ttdfamily (apartment)l cartage m If 1p roal,:is.i# it Han ❑ 8 k ar a Lhj rch 0 _' ot�J? lCel .0 Medical office '0 Office ❑ Retail & Restaurant : Other'(expialn) ---_-'- IsIhis iage of more?- , CJ ..Yes Ffves YOU mad lr.-ed,tozorttact Histvnc F Na&,v7 If:tiiiS is for a demoiitiois_.permtt; what y€ array the tiu.11tiing ccy03tcucte4f?: _. ff('i[J/'td i9�S.yd�fr wn1 079Brt tic, 'SutrrhtP,it!ith tfriS B�pli3t14!7. xs d.electrician. Other Correct. I agree to Ctton. -i -fnow-that a R.7 S"-5`