HomeMy WebLinkAbout1640 Kirkwood Dr - Correspondence/Rental Housing - 09/17/2018City Building Services Department
forOI t Collins 281 North College Avenue
P.O. Box 580
Fort Collins, CO 2-0580
(970) 221-6760 FAX (970) 0) 224-6134
Rental Housing
Investigation/Inspection Request Form CEIVE
SEP 91 201
To be filled out by renter of record.
Date Requested: TAyAe
Rental Address: 4( 40 (l�(aKWOOP 'DfL,
Owner's Name: D�c:n
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Phone #: 5 -
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Requestor's Name:-AAJC—_r
Managing Company Name:
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Phone#: Ct%{J-119QR-i4P91qC 1
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Reason for Requesting Inspection: _
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Has the owner or manager been notified of these issues? 0 .
Requester's
For Office Use Only
This form is considered an Open Public Record
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