HomeMy WebLinkAbout7220 Crooked Arrow Ln - Applications/Single Family New - 10/24/2011C of
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COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
=1 K. CAMew Ave. * rwi CoUblaft CO 805224MM * MOM 970-=4760
C90-1010
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APPLICATION MMOMW 10 I-Q-4 MWUrATM UNIE
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t5 - Conb=Wr Phone# 72,0-bol,133_3�_
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.ic Hokler Name Af City of Fon Colfims Ucense # 1>120a- Supervisor Celt
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;ubdMsiontPU YAW&- Filing# Lot # _U_ Block # 5� Lot Sq Ft_'7
,ONSTgUCTION INFO:_Tota! Btabling Sq Ft (not h-kwbv ba-�L___2492_-z—Totw Garage Sq Ft & :7 0
IaZ_ CWMI Sq Ft -tq- #of StDrle� Bldg Height V # Dwelling Units ►
lesidential Sq Ft_2___L L
- Floor Sq Ft 7102, 2- Floor Sq Ft AJ/4 3- Floor Sq Ft AJA UnIfinhed Bsffd Sq Ft. -0
inisBsrnt Sq Ft -e- #of Fireplaces
_LJ20 # of Bedrooms Z— # of Full Baths Z— % Baths _ % Baths
kir c'un"'Miew- No Energy hAb_-(ChcjaappqwJbftdx*a) I_CWK;h8Ck 2- ResCheck %WA!r Sealing
ResCheck!w;A3kYWA"W DO: 4. Sinnulated Perfoff nance Alternative S. Pmwnpbve w/Air Sealing 6. Prescriptive w/ Blower Door
of Fort Collins Stock Plan # .10721 List appropriate option / - 13�mp 2- FetpZ-C_
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MILMES INFO: '& - Pf t-1 f aft> f/:., spbr'
Vater Tap Size — V_4A Sewer Tap Size mewe&o or NO Temp. PedesW(E;>or No
ype of Heat Off Gas [] Electric Electric wkm Bmalw Size (Roklenlial o*) W 150 Afnp or Less [] 200 Amp E) Other
talus of Construction (inducHM Jab" nuibmid! & MGM)
)ascription of Wak;_/�j Ci("'
;onbtct Name & Phone # of J013SnrE. SUPERVISOR:
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kp --it I hemby admaMedge 111211 have feed Ifft ap0callon and stale that the above h11bnTWM0n is correct and agree to comply with all requiremerds
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mn—ed herein alW My OW sto'B'"s ngL Print Nam__OVJ_��� Phone36�6-47Z-13FZ
kWIC2nt Signature
Msubutiorr White-Offike Yellow-ApplicMd Pinsk_ WWWjSWmwater
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