HomeMy WebLinkAbout915 E Drake Rd A-215 - Correspondence/Rental Housing - 01/10/2019Fort Collins
Community Development & Neighborhood Services
281 N College Ave PO Box 580
Ft Collins, CO 80524
970-221-6760 phone 970-224-6134fax
RENTAL HOUSING
INVESTIGATION/INSPECTION REQUEST
_ To be filled out by renter of record
Date Requested: til U A42- y ID
Rental Address: �
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9 / s - Dle*
� ��r's Name:
I S
Owner's Phone #:
Owner's Email:
Requester's Name;
Managing Company Name:
Phone #: 3 O 3 9 5/ % °�
Phone #: ��O G
Email: /f fG?! ®� DC lvs
,(S
Email:
for Requesting Inspection:
Has the owner or manager been notified of these issues?
Do you have a written lease? Eff�es ❑ No
Requester's Signature:
For Office Use Only
1 nrs corm is conswerea on Upen Public Record
N 31 A e 14
❑ No