HomeMy WebLinkAbout5220 Black Bark Ct - Applications/Reroof - 10/28/2014F . w--- _-;
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13 Heming Unk E3 Lamm SpmkW 13 Mobile Home replacernent 0 Roofing 13 Saw Line 0 Pholo-voilm
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property Owner Name Address city/State EP phone
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Applicant Name Address (]tV/SsaGe ZIP Phone
3er� G�i� l S . v�el j Co 906 �7 667-1 z69
Contractor tic # address city/state Zip Phom
City of Ft Collins Sales Tax # Are you paying taxes here or by ►epoR? o F ❑ Report
Yes 4f NO
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S�rnranbers�Ya9 Are goer Paying with your trust aeeaunt?
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Is#fta residential or commerdai proved? Residential 17 Commerdal 13 puptex
ib 19 Single Family Oe 0 Cond~hom (single mfiY aid)
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1] MuMmlly (apadment) a Garage
®Clwn h 13 Hcbil/Motel ❑ Medical otfioe ® Office ®Re&'H
Yf, mrreerdai, lS lC C7 Bank l3 Bar
0 Restaurant E3 Other (erc Wn) I HB&vfcRWWvd lwr
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I9 this bulkHMI SOymm of � or more?
WthisisforadonclItIm pmnv t, what year was the building constructed?
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