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Home My WebLink About1912 Southdown Ct - Applications/Reroof - 02/25/2019Feb.06.2019 09:08 AM PAGE. 2/ 2 C...,.� �t' Planning, Development, & Transportation Services ! C+iunS Community Development & Neighborhood Services 281 North College Avenue Fort Collins, Co 80624 Main; 970.416.2740 Fax: 870,224,6134 O1 ER"THE4COUNTER P r M OHL-.,i This appllcatton Is to be used to apply for the following pererlte only (check all that apply). © Air Conditioning c7 Demolition (interior non-structural) 0 Bactrical Alteration (not service change) 17 rasa tighter a ices Log 0 Heating Urdt 0 Lawn Sprinftr 0 Mobile Home replacement O Rooting 0 Sewer Line p Photo-voitale ❑ Ventilation C] Water Hester 0 Water tine CI Wood/Pellet Stove (must be EPA cerdNed, provide make, model end manufachmm). Comptata all anotleabla infa mWon an tiro application. (ncotetptete appflcsllonr wiH not be accented. ApplleMon # .i l Date jJ �? 1 a s- iq Form rye anly .. Job Sibs Address (reparne Vshm of Coon pabor, voterlah6 p a q) Lt3c, Tit 120(10 G Q0_.. Property Owner Name . Address 9uukP, Zj .. Ap p}w4e Applicant Name_ U Address U Cky/stift zip Phan Conb actor U Address citypl at+e Zip Phone Centramw CRy of Ft Gd11rrbo.9lalas Tat p s��kvratrnpu,�la+r,ere�putxdby+daona AmY%FM8 ng,tsr>shs•here'nrsbVmoon? 0"eta DRepurt Are Yov Pa*Q with MW trust account? G Yes 0 No Is this a Mode diet or cornmerdal M*M Afteddentlel 13 Commercial If raddenN, Is It: O Faintly Detected a Cato jb w dwue (single Pan* attached) Cl Duplex C3 Mt IMMdly la Garap If eommadal, is it; 19 flank 17 Sar 13 Church 17 Hood/Motd p MledhrW offtae Li ofHoe 13 Retell .13 Reamant %zamff0 ftw* HOftits bUd 9 aRaorRun? �Yes•13Nn A}es,lelv/rhayntltldiacs7�n E�t4�ntclol raiibvi perms what year wits the bull ft Aarrsbn fro ofwork *P!' hrYYn sptMdar/bae{afaw laarre, nNhsC 1►st plumber.. Zl Mdhiptla A�Cir•ttNlat••Wd sabooataraceerw 1+6�Elleapnq�y/,a►nacrQl)►o�fR�tlirsAae►ese �e Beftion..Pfirri�n ftoofar� ^��4�1 Otlfer I haft wkwwledge that I halve read ttds appliMft and It-W that the abeue Crrt=Won Is mmpiete no oolfect I agree to amply with all re OMents QM ahM herein and dtY ordtnanors end state taws regulftg builoirrrg c r►structi n. I know tlrat• pmIs bot %gild w rA it Im been paid and bwed. err— �•. r RrAooaadaam?