HomeMy WebLinkAbout1229 Teakwood Dr - Applications/Reroof - 11/30/2018Dec.05.2018 09:17 AM
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Planning, Development, & Transportation Services
Fm Cans Community Development & Neighborhood Services
281 North CoNege Avorwe
Fort CatUns, CO 80524 Mein: 970.416.2740 Fax; 970.224.6134
ER -TM -COUNTER PERIYIITS ONLY
This application Is to be mood to apply for the fbIlowing pannlb only (chock all that apply). 0 Air Conditioning
13 Dernoliflan (interior nometrtieWral) 0 Electrical Alteration (not service change) 0 •pea Ughter 0 Gas Lou
17 Heating Unit C] Lawn Spdnlder 0 Mobpe Hare replacement 0 hoofing 0 Sewer Line 0 Photo voltale
M Ventilation 0 Water Heater 0 Water Line 0 WoodlPellet Stove (must be SPA certified, provide make, model and
manufacturer} i
Complete all applicable lnfbm atlon an the application. IncMi3lats applications will not be accaMad.
Appl1MU0n #. V I `b �-0 553 Date
Arofflwasvon*
lab SM Addt tmwox4 Value of pper/agd t (btbar, name% prollt)
"!�f
Prop ft owner Nehte -Address 'Mobbe 2 b Tiara 1770
ra r /�aada-��
AWkaat time Aridness CR 19 tie 211) phone 97
60,10ia
conbadnr Address City/5tabe 210 phone 7
Cenbsttnr City d f�. aoalrw Tax d< lira ystt ptgAnS.taxea•hat�a'ar elf.' t] P.le�rtet' 0 t
sziksearnrnbr rogcwedeyasmanarms Are you paft wM your trunk eroo a? 13 Yes 0 No
Is ih)s a restderrtlal Nrnmerdsi pro]ecl? ResideMlal C] Clommerdal
if roaidentlaf, Is It: �'S�e RenrW I-J Ciittdoj�owrahorna (single fandlY eltasfred) 0 t wkx
13 MONO* ( ) 0 Garage
If oomrnerpla1, is fl~ 17 Bank 17 My 13 Churdc 17 HoW/NkW C! Medical Act 17 Me 0 Retail
�Ot •'L7�atlrtur!(
Xs f105 b11I>rdltrn50 vats of age or more? O'lles�� D`Ner le►/ /�Y/ d ib ax�teet I'lisid�it P►e ova
If this is for a damoNlon peanmt what year was tM bWiti tg ext2r ded7
Qe9ol"on of work '
*If inn aprin<darNacidlaw prEVrl►tet. nMat (btUodkred.pluahlEi ,1;'!`111iQ+�Igp AEG,•In11a1Z,Ntil,ROa11f�M�CllidMl
'�lirreA�eaap�►ryl�9elearL7tfafRCbiesrllelwe,s' � lq��
PhWAW , other
nmWge that I have rand this apptbbon and scribe that dro abM hftratlon is aNnpkft and Banat. I agree to
requirements CWZbW herdn and dty ordtnanaes and ote Im reguh*V ycdiding aon*uWan. I know that a
POtN Idt Is not Valid MIN It has been paid and MOM &
n.,tamew=w,t